Jennifer Jean Callahan
Individual provider Active NPI Peer Specialist · Commerce, OK
NPI 1932807690 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1932807690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 304 N Mickey Mantle Blvd
Commerce, OK 74339-1110 - Phone
- (918) 675-4100
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Oklahoma Council on Alcoholism, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
304 N Mickey Mantle Blvd
Commerce, OK 74339-1110
Mailing address
304 N Mickey Mantle Blvd
Commerce, OK 74339-1110
Phone (918) 675-4100
Other providers in Commerce, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. 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.