Jackie Chavey

NPI 1649494477 · on the registry since 2007 · sole proprietor

Practice

Address: 702 N Grand St
Enid, OK 73701
Phone: (580) 234-3791
Fax: (580) 237-7711
Organisation at this address: Tatooed Coach Llc
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: 74

Registry record

Primary taxonomy: 163WP0808X
163WP0808X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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