Baylee Lynn Bluejacket
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1093554628
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1093554628
- Entity type
- Individual (NPI-1)
- Name
- Baylee Lynn Bluejacket
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
5310 E 31st StTulsa, OK 74135-5012
Phone 918-600-3100
Mailing address
5310 E 31st StTulsa, OK 74135-5012
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