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NPI Code Detail

MEDICARE: MRS. BROOKE JARED RN, BSN

MEDICARE: MRS. BROOKE JARED RN, BSN
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
1171M00000XCase Manager/Care CoordinatorL-81564OK

General Provider Information

NPI Number : 1467800532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE JARED RN, BSN
Provider Business Mailing Address
First Line : 4032 E 47TH ST
Second Line :
City : TULSA
State : OK
Zip : 74135-1918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4032 E 47TH ST
Second Line :
City : TULSA
State : OK
Zip : 74135-1918
Country : US
Telephone Number : 918-230-2370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 01/11/2024

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