# JESKO WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jeskowellness.com, JESKO WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033968771
- **Authorized official:** MRS. JOYCY PRANABDEV PMHNP-BC (PROVIDER)
- **Authorized official phone:** (580) 210-9396

## Contact information

- **Practice address:** 100 S MONROE ST STE 15, ELK CITY, OK 73644-5762
- **Practice address phone:** (581) 210-9396
- **Practice address fax:** (580) 245-6457
- **Mailing address:** 2606 E HIGHWAY 66, ELK CITY, OK 73644-9611
- **Mailing address phone:** (405) 345-5366
- **Mailing address fax:** (580) 245-6457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 01/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1033968771 | — | OK |
| 01 | — | 1194429829 | PSYCHIATRRY | OK |
| 05 | — | 201264530 | — | OK |