Individual
AMY BROOKE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
(580) 237-7550
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
(580) 237-7550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4052
OK
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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