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JACLYN NICHOLE PURNELL
NPI 1194459362
Peer Specialist in Tahlequah, OK

Active since July 13, 2022
118 W KEETOOWAH ST, TAHLEQUAH, OK 74464(918) 708-2015 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Jaclyn Nichole Purnell NPPES

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

JACLYN NICHOLE PURNELL (NPI 1194459362) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1194459362
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACLYN NICHOLE PURNELL
Location Address118 W KEETOOWAH STTahlequah, OK 74464-3820
Mailing Address909 Linn AveWagoner, OK 74467-2132 · (405) 220-7173
Phone(918) 708-2015
Sole ProprietorYes
Enumeration DateJuly 13, 2022
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1194459362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase ManagementTaxonomy 251B00000X
118 W KEETOOWAH ST, Tahlequah, OK 74464
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Other Providers at the Same Location NPPES 16

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

ALAN JOSEPH LINDE
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9474
STEVEN JACOB FISHINGHAWK
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 506-3105
BRETT JAMES GILLUM
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9474
QUAH PREVENTION AND RECOVERY CENTER, INC.
Case Management
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-2015
ALEXANDRIA GABRIELLE WEAVER
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-2015
HALEY DAWN GARRETT
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 316-8180
WILLIAM REINALD THOMAS LYNCH
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 708-9474
MS. KATELYNN JORDAN CHURCHES
Peer Specialist
118 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 201-4333

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 Jaclyn Purnell's NPI number?

The NPI number for Jaclyn Purnell is 1194459362. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Jaclyn Purnell located?

Jaclyn Purnell practices at 118 W Keetoowah St, Tahlequah, OK 74464. The listed phone number is (918) 708-2015.

What is Jaclyn Purnell'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 Jaclyn Purnell was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.