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Search › Oklahoma › 376K00000X

Jacob Parker

NPI 1578432837 · on the registry since 2025

Practice

Address
405 E Excelsior Ave
Vinita, OK 74301
Phone
(844) 458-2100
Organisation at this address
Odmhsas
Grand Mental Health
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
252

Additional practice sites

  • 17599 S Highway 88, Claremore, OK

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
175T00000X
3747P1801X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-04

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