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Search › Oklahoma › 171M00000X

Jacquelynn Blackwell

NPI 1942718036 · on the registry since 2018

Practice

Address
110 N 4th St
Ponca City, OK 74601
Phone
(405) 372-2202
Fax
(580) 215-5765
Organisation at this address
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
40

Additional practice sites

  • 1500 N 6th St, Ponca City, OK
  • 1500 N 6th St, Ponca City, OK

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2019-05-20

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