Jerry Wade
Peer Specialist · Ada, OK
NPI number
1396471231
Practice location
301 W 4TH StAda, OK 74820-3411
- Phone
- (580) 257-2444
NPI record
- NPI
- 1396471231
- Entity type
- Individual (Type 1)
- Enumeration date
- July 25, 2022
- Last updated
- July 25, 2022
- Certified
- July 25, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Jerry Wade
Jerry Wade is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 301 W 4TH St, Ada, OK 74820-3411. The NPI number 1396471231 was assigned on July 25, 2022 and the record was last updated on July 25, 2022.
Frequently asked questions
What is the NPI number of Jerry Wade?
The NPI number is 1396471231.
What is the phone number of Jerry Wade?
The phone number listed for the practice location is (580) 257-2444.
Where is Jerry Wade located?
301 W 4TH St, Ada, OK 74820-3411.
What is the taxonomy code for Jerry Wade?
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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