MR. JORDAN TANNER LANE
NPI 1891493060
Peer Specialist in Yukon, OK
- Individual
- Male
- Peer Specialist
About JORDAN LANE
This page provides the complete NPI Profile along with additional information for Jordan Lane, a provider established in Yukon, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1891493060 assigned on February 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1891493060 Verify this NPI
- Provider Name
- MR. JORDAN TANNER LANE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9217 NW 71ST ST YUKON, OK 73099
- Location Phone
- (405) 651-8162
- Mailing Address
- 9217 NW 71ST ST YUKON, OK 73099
- Mailing Phone
- (405) 651-8162
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-17-2023
- Last Update Date
- 02-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891493060, enumerated as an "individual" on February 17, 2023.
The provider is located at 9217 NW 71ST ST YUKON, OK 73099 and the phone number is (405) 651-8162.
Peer Specialist with taxonomy code 175T00000X.
