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ANNIETHA JACK
NPI 1710667795
Case Manager/Care Coordinator in Enid, OK

Active since July 24, 2023
605 W OXFORD AVE, ENID, OK 73701(580) 233-7220 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annietha Jack NPPES

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

ANNIETHA JACK (NPI 1710667795) is an individual case manager/care coordinator provider in Enid, Oklahoma and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1710667795
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameANNIETHA JACK
Location Address605 W OXFORD AVEEnid, OK 73701-1208
Mailing Address605 W Oxford AveEnid, OK 73701-1208 · (580) 233-7220
Phone(580) 233-7220
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1710667795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
605 W OXFORD AVE, Enid, OK 73701
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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.

AMANDA LEMLEY
Case Manager/Care Coordinator
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
JENNIFER MICHELLE SQUIRES M.A.
Case Manager/Care Coordinator
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
AMY BROOKE JERNIGAN L.P.C
Counselor
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
RACHEL PANKOW
Counselor
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
RYAN MICHAEL NALL BHRS
Counselor
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
JAY REDELSPERGER
Counselor
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
GRACE LYNN HISE
Case Manager/Care Coordinator
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220
CODI HARDING
Counselor
605 W OXFORD AVE
ENID, OK 73701
Garfield County (580) 233-7220

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 Annietha Jack's NPI number?

The NPI number for Annietha Jack is 1710667795. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Annietha Jack located?

Annietha Jack practices at 605 W Oxford Ave, Enid, OK 73701. The listed phone number is (580) 233-7220.

What is Annietha Jack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Annietha Jack was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.