Jeffrey Deatherage
Peer Specialist · McAlester, OK
NPI number
1174401012
Practice location
1101 E Monroe AveMcAlester, OK 74501-4815
- Phone
- (918) 429-4192
NPI record
- NPI
- 1174401012
- Entity type
- Individual (Type 1)
- Enumeration date
- August 26, 2025
- Last updated
- August 26, 2025
- Certified
- August 26, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Jeffrey Deatherage
Jeffrey Deatherage is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1101 E Monroe Ave, McAlester, OK 74501-4815. The NPI number 1174401012 was assigned on August 26, 2025 and the record was last updated on August 26, 2025.
Frequently asked questions
What is the NPI number of Jeffrey Deatherage?
The NPI number is 1174401012.
What is the phone number of Jeffrey Deatherage?
The phone number listed for the practice location is (918) 429-4192.
Where is Jeffrey Deatherage located?
1101 E Monroe Ave, McAlester, OK 74501-4815.
What is the taxonomy code for Jeffrey Deatherage?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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