ANNIETHA JACK

Case Manager/Care Coordinator

Active Individual
NPI: 1710667795

Practice Address

605 W OXFORD AVE
Enid, OK 73701

Phone: (580) 233-7220

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1710667795 is the National Provider Identifier for ANNIETHA JACK, a Case Manager/Care Coordinator provider located in Enid, OK. This NPI was enumerated on July 24, 2023.
ANNIETHA JACK practices at 605 W OXFORD AVE, Enid, OK 73701.

Quick Facts

NPI
1710667795
Type
Individual
Enumerated
Jul 24, 2023
Last Updated
Jul 24, 2023

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