=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699656728
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JENNIFER WEBBER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2025
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1124 W KNAPP AVE
-----------------------------------------------------
City | STILLWATER
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74075-2711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-743-9303
-----------------------------------------------------
Fax | 405-937-1229
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1124 W KNAPP AVE
-----------------------------------------------------
City | STILLWATER
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74075-2711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-743-9303
-----------------------------------------------------
Fax | 405-937-1229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JENNIFER WEBBER
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 405-743-9303
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------