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Miss Jessica Nicole Grupp
Peer Specialist in Edmond, Oklahoma
NPI 1912606013

Jessica Nicole Grupp is a Peer Specialist based in Edmond, OK. Jessica Nicole Grupp practices in Edmond, OK. The NPI Number for Jessica Nicole Grupp is 1912606013 and holds a License No. (Oklahoma).

The current practice location address for Jessica Nicole Grupp is 1225 Val Genes Rd, Edmond, OK and can be reached out via phone at 405-850-5441.

Location: 1225 Val Genes Rd, Edmond, OK, 73003-6044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912606013
Provider Name
Jessica Nicole Grupp
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 Val Genes Rd, Edmond, OK, 73003-6044
Phone Number
405-850-5441
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 Val Genes Rd
City
Edmond
State
Oklahoma
Zip
73003-6044
Phone Number
405-850-5441
Fax Number
person
Provider Business Mailing Address Details
Address
1225 Val Genes Rd
City
Edmond
State
Oklahoma
Zip
73003-6044
Phone Number
405-850-5441
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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.
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