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JEANNIE LONG
NPI 1164904710
Peer Specialist in Waynoka, OK

Active since August 30, 2018
1095 NICKERSON ST, WAYNOKA, OK 73860(580) 824-0674 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeannie Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNIE LONG (NPI 1164904710) is an individual peer specialist in Waynoka, Oklahoma and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1164904710
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJEANNIE LONG
Location Address1095 NICKERSON STWaynoka, OK 73860-1252
Mailing AddressPo Box 135Waynoka, OK 73860-0135 · (580) 824-0676
Phone(580) 824-0674
Sole ProprietorYes
Enumeration DateAugust 30, 2018
✔ NPI 1164904710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1095 NICKERSON ST, Waynoka, OK 73860
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLA LOUISE MCCLAIN BS
Counselor
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
MACKENZIE RAE BRUNE PRSS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 737-0007
MRS. MARSHA LYNNETTE CUNNINGHAM
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
BRITTANY MICHELLE CAMPBELL
Peer Specialist
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
CLARISSA M FIFIELD LCSW
Social Worker (Clinical)
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
KRISTEN RENEA HARRIS
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674
SUSAN JEANICE BRADFORD
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 430-5271
JONILLA DEANE LONG
Case Manager/Care Coordinator
1095 NICKERSON ST
WAYNOKA, OK 73860
Woods County (580) 824-0674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannie Long's NPI number?

The NPI number for Jeannie Long is 1164904710. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Jeannie Long located?

Jeannie Long practices at 1095 Nickerson St, Waynoka, OK 73860. The listed phone number is (580) 824-0674.

What is Jeannie Long's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jeannie Long was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.