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

Dr. Jack Wade Lethermon, DNPPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316722119

Dr. Jack Wade Lethermon, DNPPMHNP is a Psychiatric/Mental Health Nurse Practitioner in Claremore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

505 W 1st St
Claremore, OK 74017-7803
Phone: (918) 606-5225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 214986 (OK)

Record details

NPI number1316722119
Entity typeIndividual (Type 1)
GenderMale
Credentials DNPPMHNP
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

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