JACLYN PURNELL

Peer Specialist

Active Individual
NPI: 1194459362

Practice Address

118 W KEETOOWAH ST
Tahlequah, OK 74464

Phone: (918) 708-2015

Specialties

Specialty Code Primary License
Case Management 251B00000X No -
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1194459362 is the National Provider Identifier for JACLYN PURNELL, a Peer Specialist provider located in Tahlequah, OK. This NPI was enumerated on July 13, 2022.
JACLYN PURNELL practices at 118 W KEETOOWAH ST, Tahlequah, OK 74464.

Quick Facts

NPI
1194459362
Type
Individual
Enumerated
Jul 13, 2022
Last Updated
Jul 25, 2022

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