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JERRY MEDLOCK
NPI 1285164392
Peer Specialist in Del City, OK

Active since June 13, 2017
4312 VFW DR. APT # 7, 4312 VFW DR. APT # 7, DEL CITY, OK 73115(405) 468-0922 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Jerry Medlock NPPES

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

JERRY MEDLOCK (NPI 1285164392) is an individual peer specialist in Del City, Oklahoma and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1285164392
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY MEDLOCK
Location Address4312 VFW DR. APT # 7, 4312 VFW DR. APT # 7Del City, OK 73115
Mailing Address4312 Vfw Dr Apt 7Del City, OK 73115-2139 · (405) 468-0922
Phone(405) 468-0922
Sole ProprietorYes
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1285164392 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.
4312 VFW DR. APT # 7, Del City, OK 73115
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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 Jerry Medlock's NPI number?

The NPI number for Jerry Medlock is 1285164392. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Jerry Medlock located?

Jerry Medlock practices at 4312 Vfw Dr. Apt # 7 4312 Vfw Dr. Apt # 7, Del City, OK 73115. The listed phone number is (405) 468-0922.

What is Jerry Medlock'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 Jerry Medlock was last updated on July 21, 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.