JORDAN GABRIELLE TILLERY
NPI 1821829003
Peer Specialist in El Reno, OK

Active since August 09, 2024
501 SW 23RD ST, EL RENO, OK 73036(405) 503-5672 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Gabrielle Tillery NPPES

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

JORDAN GABRIELLE TILLERY (NPI 1821829003) is an individual peer specialist in El Reno, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1821829003
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJORDAN GABRIELLE TILLERY
Location Address501 SW 23RD STEl Reno, OK 73036-5855
Mailing Address501 Sw 23rd StEl Reno, OK 73036-5855
Sole ProprietorNo
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
NPI 1821829003 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.
501 SW 23RD ST, El Reno, OK 73036

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 Jordan Tillery's NPI number?

The NPI number for Jordan Tillery is 1821829003. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Jordan Tillery located?

Jordan Tillery practices at 501 SW 23rd St, El Reno, OK 73036. The listed phone number is (405) 503-5672.

What is Jordan Tillery'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 Jordan Tillery was last updated on August 9, 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.