Individual
JERI J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3400 NW 56TH ST, OKLAHOMA CITY, OK 73112-4463
(405) 949-1906
Mailing address
3400 NW 56TH ST, OKLAHOMA CITY, OK 73112-4463
(405) 949-1906
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
76
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731224595007
BLUE CROSS/BLUE SHIELD
OK
Enumeration date
11/01/2006
Last updated
07/08/2007
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