Search › Oklahoma › 175T00000X
Jade King
NPI 1649054735 · on the registry since 2023 · sole proprietor
Practice
- Address
- 14400 Bogert Pkwy Ste 200
Oklahoma City, OK 73134 - Phone
- (325) 428-8730
- Organisation at this address
- Oklahoma City Vamc
Life Change Outpatient, Llc
Hope Is Alive Ministries IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-21
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