Individual
JESSICA J COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 E CANADIAN AVE, VINITA, OK 74301-3810
(918) 256-3424
Mailing address
589 ELKINS LK, HUNTSVILLE, TX 77340-7314
(936) 229-7942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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