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

Miracle Jean Enninga

Individual provider Case Manager/Care Coordinator · NPI 1649045048

Miracle Jean Enninga is a Case Manager/Care Coordinator in Ponca City, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

407 W South Ave
Ponca City, OK 74601-6133
Phone: (580) 749-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1649045048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address407 W South Ave, Ponca City, OK 74601-6133

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