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MS. SHELLY DENISE JACK BHRS CM II
NPI 1447520135
Clinic/Center - Mental Health (Including Community Mental Health Center) in Atoka, OK

Active since January 11, 2012
1088 S GIN RD, ATOKA, OK 74525(580) 239-2071(580) 509-5041 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shelly Denise Jack Bhrs Cm Ii NPPES

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

MS. SHELLY DENISE JACK BHRS CM II (NPI 1447520135) is an individual mental health (including community mental health center) provider in Atoka, Oklahoma and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1447520135
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameMS. SHELLY DENISE JACKCredential: BHRS CM II
Location Address1088 S GIN RDAtoka, OK 74525-7378
Mailing Address1185 S Oregon AveAtoka, OK 74525-2879 · (580) 230-3079
Phone(580) 239-2071
Fax(580) 509-5041
Sole ProprietorYes
Enumeration DateJanuary 11, 2012
Last NPPES UpdateOctober 30, 2018
✔ NPI 1447520135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedSocial WorkerTaxonomy 104100000X
1088 S GIN RD, Atoka, OK 74525
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Other Names 1

Other Name (5)Shelly Denise Martin

Other Providers at the Same Location NPPES 5

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

ANN FAUDREE MA
Case Manager/Care Coordinator
1088 S GIN RD
ATOKA, OK 74525
Atoka County (580) 509-5008
RETA WATSON
Case Manager/Care Coordinator
1088 S GIN RD
ATOKA, OK 74525
Atoka County (580) 509-5041
EDDIE TODD NANNEY
Case Manager/Care Coordinator
1088 S GIN RD
ATOKA, OK 74525
Atoka County (580) 513-0543
KELLI J NOWLIN LPC
Counselor (Professional)
1088 S GIN RD
ATOKA, OK 74525
Atoka County (580) 239-2071
CHER LUV NANNEY
Case Manager/Care Coordinator
1088 S GIN RD
ATOKA, OK 74525
Atoka County (785) 969-2045

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 Shelly Jack's NPI number?

The NPI number for Shelly Jack is 1447520135. It was assigned to this individual provider in the NPPES registry on January 11, 2012. The provider is also known as Shelly Denise Martin.

Where is Shelly Jack located?

Shelly Jack practices at 1088 S Gin Rd, Atoka, OK 74525. The listed phone number is (580) 239-2071.

What is Shelly Jack's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Shelly Jack was last updated on October 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.