Derra Bishop

Case Manager/Care Coordinator · Ponca City, OK

Individual Active NPI

NPI number 1548829054

Practice location

110 N 4TH St
Ponca City, OK 74601
Phone
(580) 749-5056

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NPI record

NPI
1548829054
Entity type
Individual (Type 1)
Enumeration date
June 8, 2019
Last updated
July 8, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

110 N 4TH St
Ponca City, OK 74601-4527
Phone
(580) 749-5056

Other practice locations (2)

  • 1613 Bradbary Ln, Ponca City, OK 74601-2514 · (580) 628-1551
  • 1613 Bradbary Ln, Ponca City, OK 74601-2514 · (580) 628-1551

About Derra Bishop

Derra Bishop is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 110 N 4TH St, Ponca City, OK 74601. The NPI number 1548829054 was assigned on June 8, 2019 and the record was last updated on July 8, 2019.

Frequently asked questions

What is the NPI number of Derra Bishop?

The NPI number is 1548829054.

What is the phone number of Derra Bishop?

The phone number listed for the practice location is (580) 749-5056.

Where is Derra Bishop located?

110 N 4TH St, Ponca City, OK 74601.

What is the taxonomy code for Derra Bishop?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

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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