Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY MEDLOCK
Active Sole ProprietorJERRY MEDLOCK is a Peer Specialist healthcare provider located in DEL CITY, Oklahoma. NPI 1285164392 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · DEL CITY, OK
Registration Details
- NPI Number
- 1285164392
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2017 (8.988145361594 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4312 VFW DR. APT # 74312 VFW DR. APT # 7DEL CITY, OK, 73115Browse OK providers · Browse ZIP 73115
- Phone
- 4054680922
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in DEL CITY, OK
| Name | Credential | NPI |
|---|---|---|
| LATONYA L LEWIS | — | 1023552700 |
| DILLON TREY JARRETT | — | 1346720299 |
| LORA JANE WILLIAMS | — | 1649741232 |
| CHRISTOPHER LEE CAMPBELL | — | 1215553342 |
| SHANE PALMER BRAIG | — | 1336747609 |
| JUDITH ANNE YOUNG | — | 1194324491 |
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.