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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN NICHOLE PURNELL

Active Sole Proprietor

JACLYN NICHOLE PURNELL is a Peer Specialist healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1194459362 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · TAHLEQUAH, OK

Registration Details

NPI Number
1194459362
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2022 (4.0963445201983 yrs)
Last Updated
Jul 25, 2022
Sole Proprietor
Yes

Practice Information

Address
118 W KEETOOWAH ST
TAHLEQUAH, OK, 744643820
Browse OK providers · Browse ZIP 74464
Phone
9187082015
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in TAHLEQUAH, OK

Name Credential NPI
JEROMY MICHAEL KLINGER MS 1063921468
CELESTE MOORE 1124590260
HEATHER MARIE ASKEW 1700349883
AELICIA FRAN GREEN 1366097636
MRS. MILLISSA KAE ROBINSON 1902403702
MS. MONICA L RYALS BS 1831771120
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.