MEDICARE: MRS. JENNIFER KAYE POWERS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1194161216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER KAYE POWERS

Provider Business Mailing Address
First Line	:	3124 N. CLASSEN BLVD., STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118
Country	:	US
Telephone Number	:	405-200-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 N. CLASSEN BLVD., STE. A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118
Country	:	US
Telephone Number	:	405-951-3387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	09/25/2019

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