Jennifer Kathleen Sample

NPI #1679314827 in Ardmore, Oklahoma

Provider Information

NPI Number: 1679314827
Entity Type: Individual
Name: Jennifer Kathleen Sample
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jun 3, 2024
Last Updated: Jun 3, 2024

Practice Location

Address: 401 CAMPBELL ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1919
Phone: (580) 340-2369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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