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NPI Code Detail

MEDICARE: MS. ASHLEY YVETTE PARKER-JACKSON M.A. BHRS

MEDICARE:  MS. ASHLEY YVETTE PARKER-JACKSON  M.A. BHRS
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)OK

General Provider Information

NPI Number : 1811264310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY YVETTE PARKER-JACKSON M.A. BHRS
Provider Business Mailing Address
First Line : 6418 N SANTA FE AVE STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-9130
Country : US
Telephone Number : 405-000-0000
Fax Number :
Provider Business Practice Location Address
First Line : 9804 CHESTERTON PL
Second Line : 9804 CHESTERTON PLACE
City : OKLAHOMA CITY
State : OK
Zip : 73120-3611
Country : US
Telephone Number : 405-474-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2011
Last Update Date : 04/09/2013

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Directions to “ MS. ASHLEY YVETTE PARKER-JACKSON M.A. BHRS” Practice Location

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