Search › Oklahoma › 101Y00000X
Jessica Ortiz
NPI 1508404740 · on the registry since 2019
Practice
- Address
- 1313 W Ferguson Ave
Blackwell, OK 74631 - Phone
- (580) 789-3100
- Organisation at this address
- Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma