Individual
JENNIFER NICOLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 N MERIDIAN AVE APT B, OKLAHOMA CITY, OK 73112-1565
(405) 517-8462
Mailing address
5402 N MERIDIAN AVE APT B, OKLAHOMA CITY, OK 73112-1565
(405) 517-8462
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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