Jessica Green-Wagnon

NPI 1518314749 · on the registry since 2016

Practice

Address: 138 S. Main
Afton, OK 74331
Phone: (918) 257-4244
Fax: (918) 257-4247
Organisation at this address: Grand Lake Mental Health Center Inc.
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: 48

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-05-18

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