Individual
JACLYN ADISON SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 942-6210
Mailing address
713 SW 157TH ST, OKLAHOMA CITY, OK 73170-7688
(405) 821-2293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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