Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHELLY DENISE JACK, BHRS CM II
Active Sole ProprietorMS. SHELLY DENISE JACK, BHRS CM II is a Mental Health Clinic healthcare provider located in ATOKA, Oklahoma. NPI 1447520135 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · ATOKA, OK
Registration Details
- NPI Number
- 1447520135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2012 (14.593308618755 yrs)
- Last Updated
- Oct 30, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1088 S GIN RDATOKA, OK, 745257378Browse OK providers · Browse ZIP 74525
- Phone
- 5802392071
- Fax
- 5805095041
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Mental Health Clinic
Other Mental Health Clinic Providers in ATOKA, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. VALERIE JO RENA DODSON | — | 1972841831 |
| KASSANDRA GOODALE | — | 1457032088 |
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.