Kelly Jackson-reavis, - Licensed Practical Nurse in Lawton, OK

Kelly Jackson-reavis, is a Licensed Practical Nurse based in Lawton, Oklahoma. Kelly Jackson-reavis is licensed to practice in Oklahoma (license number L0061345) and her current practice location is 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 354-5000.

NPI number for Kelly Jackson-reavis is 1427559574 and her current mailing address is 1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427559574.

Contact Information

Kelly Jackson-reavis,
1515 Ne Lawrie Tatum Rd,
Lawton, OK 73507-3002
(580) 354-5000
Not Available



Provider's Profile

Full NameKelly Jackson-reavis
GenderFemale
SpecialityLicensed Practical Nurse
Location1515 Ne Lawrie Tatum Rd, Lawton, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427559574
  • Provider Enumeration Date: 02/23/2018
  • Last Update Date: 02/23/2018

Medical Identifiers

Medical identifiers for Kelly Jackson-reavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427559574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L0061345 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jackson-reavis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Jackson-reavis,
1515 Ne Lawrie Tatum Rd,
Lawton, OK 73507-3002

Ph: (580) 354-5000
Kelly Jackson-reavis,
1515 Ne Lawrie Tatum Rd,
Lawton, OK 73507-3002

Ph: (580) 354-5000

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Lawton, OK

Tamyra Gallegos, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    
Patricia Mantzke, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    
Robin Bitseedy, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    
Chiquita Bradford, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    
Jennifer Nicole Fife-justice,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    
Chayil Yeahquo,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5623    
Tammy Lea Zambrana,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507
Phone: 580-354-5000    

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