MEDICARE: ANDRALI R JEWETT

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1801185624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRALI R JEWETT

Provider Business Mailing Address
First Line	:	737 NE 14TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-4622
Country	:	US
Telephone Number	:	405-209-2081
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 NE 14TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-4622
Country	:	US
Telephone Number	:	405-209-2081
Fax Number	:

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

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	09/12/2012

Similar Medicare Providers

1194858290 — SOURCE UNLIMITED INC
Practice Location Address:

4801 N CLASSEN BLVD STE 239
OKLAHOMA CITY, OK
73118-4622

Practice Phone: 405-840-5558
Practice Fax: 405-840-9194

1730584681 — HEATHER NEFF
Practice Location Address:

7804 S MILLER BLVD
OKLAHOMA CITY, OK
73159-4622

Practice Phone: 405-513-1925
Practice Fax:

1952881443 — KATHY XUAN LE PHARMD
Practice Location Address:

5401 TINKER DIAG ST
OKLAHOMA CITY, OK
73115-4622

Practice Phone: 405-670-1030
Practice Fax:

1225055338 — WAL-MART STORES EAST LP
Practice Location Address:

5401 TINKER DIAG ST
DEL CITY, OK
73115-4622

Practice Phone: 405-670-1030
Practice Fax:

1699830349 — DR. KELLI MARIE SIMS PHARM. D.
Practice Location Address:

1061 HIGHWAY 280
ALEXANDER CITY, AL
35010-4622

Practice Phone: 256-234-5156
Practice Fax: 256-234-5428

1891851952 — MR. RICHARD CHARLES SPEAKE RPH
Practice Location Address:

1061 HIGHWAY 280
ALEXANDER CITY, AL
35010-4622

Practice Phone: 256-234-5156
Practice Fax:

Directions to “ ANDRALI R JEWETT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.