Jennifer Russell
NPI #1356061469 in Holdenville, Oklahoma
Provider Information
- NPI Number
- 1356061469
- Entity Type
- Individual
- Name
- Jennifer Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 30, 2022
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 118 E MAIN ST
- City
- Holdenville
- State
- Oklahoma
- ZIP Code
- 74848-3208
- Phone
- (405) 379-5256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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