Individual
ALEXANDRIA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N GRAND AVE STE 414, OKMULGEE, OK 74447-4032
(918) 758-5449
Mailing address
114 N GRAND AVE STE 414, OKMULGEE, OK 74447-4032
(918) 758-5449
(918) 758-5449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
P084143024
OK
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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