Jameerah Sherell Phillips

Individual provider Active NPI Case Manager/Care Coordinator · Langston, OK

NPI 1669898771 · NPPES record last updated Mar 13, 2014

Key facts

NPI
1669898771
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
100 Success Drive
Langston, OK 73050-2001
Phone
(405) 371-0792
NPI assigned
Mar 13, 2014
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

100 Success Drive
Langston, OK 73050-2001

Mailing address

PO Box 2000
Langston, OK 73050-2001
Phone (405) 371-0792

Other providers in Langston, OK

All providers in Langston, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.