Jake Gage Ferguson
Peer Specialist · Pryor, OK
NPI number
1336646058
Practice location
109 N Fairland StPryor, OK 74361-4203
- Phone
- (918) 825-1405
NPI record
- NPI
- 1336646058
- Entity type
- Individual (Type 1)
- Enumeration date
- April 9, 2018
- Last updated
- April 9, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Jake Ferguson
Jake Gage Ferguson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 109 N Fairland St, Pryor, OK 74361-4203. The NPI number 1336646058 was assigned on April 9, 2018 and the record was last updated on April 9, 2018.
Frequently asked questions
What is the NPI number of Jake Gage Ferguson?
The NPI number is 1336646058.
What is the phone number of Jake Ferguson?
The phone number listed for the practice location is (918) 825-1405.
Where is Jake Ferguson located?
109 N Fairland St, Pryor, OK 74361-4203.
What is the taxonomy code for Jake Ferguson?
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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