Individual
JESSICA D'ANN SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 BROADWAY EXT, OKLAHOMA CITY, OK 73116-8239
(405) 607-4041
(405) 463-0090
Mailing address
6501 BROADWAY EXT, OKLAHOMA CITY, OK 73116-8239
(405) 607-4041
(405) 463-0090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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