Individual
JESSICA MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 D ST SW, ARDMORE, OK 73401-4941
(580) 798-8702
Mailing address
2530 S COMMERCE ST BLDG B, ARDMORE, OK 73401-5519
(580) 226-5636
(580) 226-6727
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
04/23/2025
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