Individual
JULIE LYNN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(918) 510-0112
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(918) 510-0112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
129249
OK
Other
Enumeration date
09/12/2012
Last updated
03/16/2020
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