Jackie McDaniel
Physical Medicine & Rehabilitation · Ada, OK
UnclaimedNPI 1073693099
- Primary taxonomy
- 208100000X
- Enumerated
- 2006-10-16
- Practice location
- Ada, OK
- Last NPPES update
- 2007-07-23
State licenses
- OK · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.