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

Dr. Jennifer Elisabeth Prater, DPH

Individual provider Pharmacist · NPI 1053912055

Dr. Jennifer Elisabeth Prater, DPH is a Pharmacist in Blackwell, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

1219 W Doolin Ave
Blackwell, OK 74631-1351
Phone: (580) 363-4090
Fax: (580) 363-1390
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14951 (OK)

Record details

NPI number1053912055
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPH
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Other providers in Blackwell