Individual
MICHELE RENEE JACKIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3719
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3805
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
319133
OK
175T00000X
Peer Specialist
134902
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
01/23/2024
Last updated
07/13/2026
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