Jessie Brown
Individual provider Active NPI Community/Behavioral Health Agency · Bethany, OK
NPI 1548630650 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1548630650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 8204 NW 31St Ter
Bethany, OK 73008-4348 - Phone
- (580) 458-0920
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- 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/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
8204 NW 31St Ter
Bethany, OK 73008-4348
Mailing address
8204 NW 31St Ter
Bethany, OK 73008-4348
Phone (580) 458-0920
Other providers in Bethany, OK
- Michael Brobston
- Joseph C Broome
- Elizabeth Bross
- Matthew Cade Bross
- Alysson Brown
- Steven D Brown
- Laura V Browning
- Mandy Broyles
- Morgan Brumley
- Iryna Bryukhanov
All providers in Bethany, OK · Community/Behavioral Health Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. 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.