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NPI Code Detail

MEDICARE: ANN JAMIESON

MEDICARE: ANN JAMIESON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1153OK

General Provider Information

NPI Number : 1073921615
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN JAMIESON
Provider Business Mailing Address
First Line : 3445 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-1105
Country : US
Telephone Number : 918-232-4288
Fax Number : 918-610-3344
Provider Business Practice Location Address
First Line : 3445 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-1105
Country : US
Telephone Number : 918-232-4288
Fax Number : 918-610-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ ANN JAMIESON ” Practice Location

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