Jerry W. White Tail
Jerry W. White Tail is a Peer Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1501 N Classen BlvdOklahoma City, OK 73106-6611
Phone: (405) 235-5671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1891524351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2024 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
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