Herning, Jessica Lynn

Herning, Jessica Lynn is an sole proprietor health care provider with primary practice located at 424 S Eastern Ave , Moore OK 73160-5942. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Herning, Jessica Lynn can be contacted via phone (405) 794-1591.

Contact Information

Primary practice address
424 S Eastern Ave Moore OK 73160-5942
Phone: (405) 794-1591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6950 Oklahoma

Profile Details

NPI number 1164875712
LBN Legal business name Herning, Jessica Lynn
Credentials MHR, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2016
Last updated Jun 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164875712 NPPES
Oklahoma MEDICAID 200675060

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