Janetta Renee Sledge
Individual provider Active NPI Community Health Worker · Oklahoma, OK
NPI 1154645778 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1154645778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1901 NE 67TH
Oklahoma, OK 73111 - Phone
- (405) 923-5933
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1901 NE 67TH
Oklahoma, OK 73111
Mailing address
1901 NE 67TH
Oklahoma, OK 73111
Phone (405) 923-5933
Other providers in Oklahoma, OK
- Michelle Patrick
- Alicia Payne
- Phyllis Kay Pulchny
- Tolonnie Shirley
- Debra A Sigman
- Raymond Arthur Smith Jr.
- Hazel Soto
- Tiffany Dawn Stokely
- Milagro Taurus
- Tina Thomas
All providers in Oklahoma, OK · Community Health Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.