Individual
JEFF R. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MS, MHR
Contact information
Practice address
320 12TH AVE NE, NORMAN, OK 73071-5238
(405) 773-3819
Mailing address
1384 CLASSEN BLVD, NORMAN, OK 73071-4653
(405) 412-7183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
163W00000X
Registered Nurse
56996
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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