Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shelly Jacobs MD PLLC

Organization Substance Abuse Rehabilitation Facility · NPI 1770204364

Shelly Jacobs MD PLLC is a Substance Abuse Rehabilitation Facility in Oklahoma City, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6424 N Portland Ave
Oklahoma City, OK 73116-2012
Phone: (405) 757-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1770204364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khang Truong — Business Manager · (405) 532-3176
Other names Suboxone And Wellness Clinic
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address6424 N Portland Ave, Oklahoma City, OK 73116-2012

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