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NPI Code Detail

MEDICARE: MRS. JENNIFER ROSE CAIN

MEDICARE: MRS. JENNIFER ROSE CAIN
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 Coordinator

General Provider Information

NPI Number : 1598497729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ROSE CAIN
Provider Business Mailing Address
First Line : 16113 KORIE DR
Second Line :
City : EDMOND
State : OK
Zip : 73013-1488
Country : US
Telephone Number : 405-549-7751
Fax Number :
Provider Business Practice Location Address
First Line : 4300 N LINCOLN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-5107
Country : US
Telephone Number : 405-424-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 12/02/2025

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Directions to “ MRS. JENNIFER ROSE CAIN ” Practice Location

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