Individual
JESSICA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 NW 72ND ST, WARR ACRES, OK 73132-5931
(405) 839-7600
Mailing address
11901 BLUE MOON AVE, OKLAHOMA CITY, OK 73162-1014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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