Individual
MRS. HANNAH MARIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2212 N BROADWAY ST, MOORE, OK 73160-4303
(405) 285-7222
(405) 285-7227
Mailing address
2212 N BROADWAY ST, MOORE, OK 73160-4303
(405) 285-7222
(405) 285-7227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3211
OK
363AM0700X
Medical Physician Assistant
3211
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14670040
CAQH
OK
05
—
200913150A
—
OK
Enumeration date
05/27/2020
Last updated
03/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us