SearchOklahoma175T00000X

Jordan Berry

NPI 1588516637 · on the registry since 2026 · sole proprietor

Practice

Address
5800 Nw 34th St Apt B22
Oklahoma City, OK 73122
Phone
(405) 235-5671

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-11

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