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NPI Code Detail

MEDICARE: JESSICA NICHOLE FLORES-MINOR PRSS

MEDICARE: JESSICA NICHOLE FLORES-MINOR PRSS
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 : 1720910003
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA NICHOLE FLORES-MINOR PRSS
Provider Business Mailing Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number :
Provider Business Practice Location Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JESSICA NICHOLE FLORES-MINOR PRSS” Practice Location

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