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NPI Code Detail

MEDICARE: JASMINE REPP

MEDICARE:   JASMINE  REPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1063082766
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE REPP
Provider Business Mailing Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-416-4483
Fax Number :
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-416-4483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2021
Last Update Date : 01/07/2026

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Directions to “ JASMINE REPP ” Practice Location

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