TY Julian Gregson

Case Manager/Care Coordinator · Jay, OK

Individual Active NPI

NPI number 1629748645

Practice location

1015 W Washbourne St
Jay, OK 74346-4205
Phone
(918) 308-5513

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NPI record

NPI
1629748645
Entity type
Individual (Type 1)
Enumeration date
September 20, 2021
Last updated
September 20, 2021
Certified
September 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

1111 Ditmars Rd
Prairie Grove, AR 72753-7900
Phone
(479) 438-2203

About TY Gregson

TY Julian Gregson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1015 W Washbourne St, Jay, OK 74346-4205. The NPI number 1629748645 was assigned on September 20, 2021 and the record was last updated on September 20, 2021.

Frequently asked questions

What is the NPI number of TY Julian Gregson?

The NPI number is 1629748645.

What is the phone number of TY Gregson?

The phone number listed for the practice location is (918) 308-5513.

Where is TY Gregson located?

1015 W Washbourne St, Jay, OK 74346-4205.

What is the taxonomy code for TY Gregson?

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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