Individual
JASON LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(844) 458-2100
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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