Individual
CARLY JILLYN JAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 E 31ST ST STE 1000, TULSA, OK 74135-5010
(918) 585-1213
(918) 585-1263
Mailing address
5330 E 31ST ST STE 1000, TULSA, OK 74135-5010
(918) 585-1213
(918) 585-1263
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
320290
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
04/28/2026
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