Individual
JESSICA C STANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 E 2ND ST, HEAVENER, OK 74937-3419
(918) 426-7800
Mailing address
35230 MIDWAY RD, POTEAU, OK 74953-7468
(918) 426-7800
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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