What is Jordan Fontenot's NPI number?

The NPI number assigned to this healthcare provider is 1295422814, enumerated as a individual on April 24, 2023.

Where is the provider located?

The provider is located at 4400 N LINCOLN BLVD OKLAHOMA CITY, OK 73105 and the phone number is (405) 424-7711.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

JORDAN FONTENOT - NPI 1295422814 - Peer Specialist in Oklahoma City, OK

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About Jordan Fontenot NPPES

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

JORDAN FONTENOT (NPI 1295422814) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1295422814

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJORDAN FONTENOT

Location Address4400 N LINCOLN BLVDOklahoma City, OK 73105-5108

Mailing AddressS Louisa AveShawnee, OK 74801

Phone(405) 424-7711

Sole ProprietorNo

Enumeration DateApril 24, 2023

NPPES CertifiedApril 17, 2023

✔ NPI 1295422814 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.

4400 N LINCOLN BLVD, Oklahoma City, OK 73105

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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.

MR. MICHAEL JOSEPH HANES MAT, ATR-BC, LPC

Counselor (Professional)