Purnell, Jaclyn Nichole

Purnell, Jaclyn Nichole is an sole proprietor health care provider with primary practice located at 118 W Keetoowah St , Tahlequah OK 74464-3820. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Purnell, Jaclyn Nichole can be contacted via phone (918) 708-2015.

Contact Information

Primary practice address
118 W Keetoowah St Tahlequah OK 74464-3820
Phone: (918) 708-2015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1194459362
LBN Legal business name Purnell, Jaclyn Nichole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2022
Last updated Jul 25th, 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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