SearchOklahomaPeer Specialist

Jake Bacon

NPI 1538025259 · on the registry since 2025

Practice

Address
6720 E 69th St
Tulsa, OK 74133
Phone
(539) 322-8409
Clinicians at this address
5

Registry record

Primary taxonomy
Peer Specialist
175T00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-26

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