Jaclyn Nichole Purnell
Jaclyn Nichole Purnell is a Case Management Agency in Tahlequah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
118 W Keetoowah StTahlequah, OK 74464-3820
Phone: (918) 708-2015
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1194459362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
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Quah Prevention and Recovery Center, Inc
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Alexandria Gabrielle Weaver
118 W Keetoowah St, Tahlequah, OK 74464-3820 · (918) 708-2015