Jerry Wayne Campbell
Jerry Wayne Campbell is a Peer Specialist in Pryor, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
205 S Adair StPryor, OK 74361-5201
Phone: (918) 803-2779
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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 | 1033881628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
| Mailing address | 901 S Elliott St, Pryor, OK 74361-7003 |
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