Crysta Nicole Cunningham
Case Manager/Care Coordinator in Jay, OK. Individual provider (NPI-1).
NPI number1700523883
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1700523883
- Entity type
- Individual (NPI-1)
- Name
- Ms. Crysta Nicole Cunningham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2022
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1015 W Washbourne StJay, OK 74346-4205
Phone 918-308-5513
Mailing address
1617 W Atlanta StJay, OK 74346-3816
Phone 918-353-3459
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All 31 Case Manager/Care Coordinator providers in Jay · All 193 providers in Jay
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