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

JACKIE CHAVEY

Active Sole Proprietor

Child & Adolescent Psychiatric Nurse · ENID, OK

Registration Details

NPI Number
1649494477
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.065299388589 yrs)
Last Updated
Jul 8, 2007
License
R0062614 (OK)
Sole Proprietor
Yes

Practice Information

Address
702 N GRAND ST
ENID, OK, 737013221
Browse OK providers · Browse ZIP 73701
Phone
5802343791
Fax
5802377711
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
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.