Tracey Lea Jernigan in Oklahoma City - Clinical
Tracey Lea Jernigan - NPI 1831162502
Tracey Lea Jernigan is a Clinical in Oklahoma City, Oklahoma. Tracey Lea Jernigan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracey Lea Jernigan is 1831162502. The last update date is 2014-05-29.
Tracey Lea Jernigan's current location address is Po Box 16337, Oklahoma City, Oklahoma. You can contact this provider via phone number 4058402391 and fax number 4058402394. The mailing address for Tracey Lea Jernigan is Po Box 16337, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey Lea Jernigan |
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Address | Po Box 16337, Oklahoma City, Oklahoma |
Phone Number | 4058402391 |
Fax Number | 4058402394 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1831162502 |
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Provider Enumeration Date | 2006-02-10 |
Last Updated Date | 2014-05-29 |
Provider Mailing Address Detail
Address | Po Box 16337 |
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City | Oklahoma City |
State | Oklahoma (OK) |
Post Code | 731132337 |
Phone Number | 4058402391 |
Fax Number | 4058402394 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1875 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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100723600B | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracey Lea Jernigan?
The Tracey Lea Jernigan has been issued the NPI (National Provider Identifier) 1831162502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Tracey Lea Jernigan is geographically located?
The Tracey Lea Jernigan is physically situated at the following location: Po Box 16337, Oklahoma City, OK, 731132337.
What is Tracey Lea Jernigan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey Lea Jernigan is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831162502 to Tracey Lea Jernigan?
The Centers for Medicare & Medicaid Services assigned the 1831162502 to Tracey Lea Jernigan on 2006-02-10.
When was the Tracey Lea Jernigan's information last updated?
The Tracey Lea Jernigan's information was last updated on 2014-05-29.