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

Mr. Charles Jesse Anderson

Individual provider Case Manager/Care Coordinator · NPI 1568276004

Mr. Charles Jesse Anderson is a Case Manager/Care Coordinator in Vinita, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

24800 S 4420 Rd
Vinita, OK 74301-5544
Phone: (918) 256-7841
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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 number1568276004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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