Annietha Jack
Annietha Jack is a Case Manager/Care Coordinator in Enid, Oklahoma. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
605 W Oxford AveEnid, OK 73701-1208
Phone: (580) 233-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1710667795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 24, 2023 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
| Mailing address | 605 W Oxford Ave, Enid, OK 73701-1208 |
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