Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB ANDERSON
Active Sole ProprietorCase Manager · DURANT, OK
Registration Details
- NPI Number
- 1104351709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2017 (9.0021858593249 yrs)
- Last Updated
- Apr 21, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
142 W MAIN STDURANT, OK, 747015008Browse OK providers · Browse ZIP 74701
- Phone
- 5809202069
- Fax
- 5809201010
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in DURANT, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. STEPHANIE G ROSS | CASE MANAGER I | 1104022755 |
| MS. KARLA ANNE DAVISON | LCSW | 1477747269 |
| WENDY BERANEK | — | 1154507259 |
| LORIE D JOHNSTON | LPN | 1790095628 |
| LORI ANN BLACK | — | 1174812879 |
| MS. LINDSEY JO CRAM | — | 1508159005 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.