person
Dr. Jack Wade Lethermon, DNPPMHNP
Psychiatric/Mental Health Nurse Practitioner in Okmulgee, Oklahoma
NPI 1316722119

Jack Wade Lethermon is a Psychiatric/Mental Health Nurse Practitioner based in Okmulgee, OK and is specialized in Psychiatric/Mental Health. Jack Wade Lethermon practices in Okmulgee, OK and has the professional credentials of DNPPMHNP. The NPI Number for Jack Wade Lethermon is 1316722119 and holds a License No. 214986 (Oklahoma).

The current practice location address for Jack Wade Lethermon is 1401 Morris Dr, Okmulgee, OK and can be reached out via phone at 918-606-5225.

Location: 1401 Morris Dr, Okmulgee, OK, 74447-6429
person
Provider Profile Details
NPI Number
1316722119
Provider Name
Jack Wade Lethermon
Credential
DNPPMHNP
Provider Entity Type
Individual
Gender
Male
Address
1401 Morris Dr, Okmulgee, OK, 74447-6429
Phone Number
918-606-5225
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 Morris Dr
City
State
Zip
74447-6429
Phone Number
918-606-5225
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Morris Dr
City
State
Zip
74447-6429
Phone Number
918-606-5225
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
214986 (Oklahoma)
Definition
Definition to come...
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