Jamie Pemberton

NPI #1124909122 in Yukon, Oklahoma

Provider Information

NPI Number: 1124909122
Entity Type: Individual
Name: Jamie Pemberton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 205 N RANCHWOOD BLVD
City: Yukon
State: Oklahoma
ZIP Code: 73099-2033
Phone: (405) 423-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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