O'Kelley, Jazmine Rena

O'Kelley, Jazmine Rena is an individual health care provider with primary practice located at 1405 E Moses , Cushing OK 74023. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. O'Kelley, Jazmine Rena can be contacted via phone (918) 225-5600.

Contact Information

Primary practice address
1405 E Moses Cushing OK 74023
Phone: (918) 225-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 238194 Oklahoma

Profile Details

NPI number 1063877736
LBN Legal business name O'Kelley, Jazmine Rena
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2015
Last updated Dec 23rd, 2015 - about 11 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 1063877736 NPPES
Oklahoma MEDICAID 100686560A

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