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JENNIFER KATHLEEN SAMPLE
NPI 1679314827
Peer Specialist in Ardmore, OK

Active since June 03, 2024
401 CAMPBELL ST, ARDMORE, OK 73401(580) 340-2369 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Kathleen Sample NPPES

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

JENNIFER KATHLEEN SAMPLE (NPI 1679314827) is an individual peer specialist in Ardmore, Oklahoma and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1679314827
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJENNIFER KATHLEEN SAMPLE
Location Address401 CAMPBELL STArdmore, OK 73401-1919
Mailing Address401 Campbell StArdmore, OK 73401-1919 · (580) 340-2369
Phone(580) 340-2369
Sole ProprietorYes
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1679314827 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.
401 CAMPBELL ST, Ardmore, OK 73401
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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 Jennifer Sample's NPI number?

The NPI number for Jennifer Sample is 1679314827. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Jennifer Sample located?

Jennifer Sample practices at 401 Campbell St, Ardmore, OK 73401. The listed phone number is (580) 340-2369.

What is Jennifer Sample'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 Jennifer Sample was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.