Healthcare Provider Details

I. General information

NPI: 1699656728
Provider Name (Legal Business Name): JENNIFER WEBBER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 W KNAPP AVE
STILLWATER OK
74075-2711
US

IV. Provider business mailing address

1124 W KNAPP AVE
STILLWATER OK
74075-2711
US

V. Phone/Fax

Practice location:
  • Phone: 405-743-9303
  • Fax: 405-937-1229
Mailing address:
  • Phone: 405-743-9303
  • Fax: 405-937-1229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEBBER
Title or Position: OWNER
Credential: APRN
Phone: 405-743-9303