Cantrell, Jessica Nicole

Cantrell, Jessica Nicole is an sole proprietor health care provider with primary practice located at 7146 Walton Ln , Mcloud OK 74851-8185. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cantrell, Jessica Nicole can be contacted via phone (405) 432-7658.

Contact Information

Primary practice address
7146 Walton Ln Mcloud OK 74851-8185
Phone: (405) 432-7658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oklahoma

Profile Details

NPI number 1720711252
LBN Legal business name Cantrell, Jessica Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 3 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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