DR. Jack Wade Lethermon, DNP PMHNP

NPI #1316722119 in Claremore, Oklahoma

Provider Information

NPI Number
1316722119
Entity Type
Individual
Name
DR. Jack Wade Lethermon, DNP PMHNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
DNP PMHNP
Enumeration Date
Aug 29, 2023
Last Updated
Apr 8, 2024

Practice Location

Address
505 W 1ST ST
ZIP Code
74017-7803
Phone
(918) 606-5225

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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