JERRY WHITE TAIL
Peer Specialist
Active
Individual
NPI: 1891524351
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1891524351 is the National Provider Identifier for JERRY WHITE TAIL, a Peer Specialist provider located in Oklahoma City, OK. This NPI was enumerated on July 31, 2024.
JERRY WHITE TAIL practices at 1501 N CLASSEN BLVD, Oklahoma City, OK 73106.
Quick Facts
- NPI
- 1891524351
- Type
- Individual
- Enumerated
- Jul 31, 2024
- Last Updated
- Jul 31, 2024
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