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Jennifer Mozingo

Community Health Worker in Watonga, OK. Individual provider (NPI-1).

NPI number1770985772
StatusActive
Last updated in NPPESSep 22, 2014

Details

NPI
1770985772
Entity type
Individual (NPI-1)
Name
Jennifer Mozingo
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 22, 2014
Last updated
Sep 22, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4978 S Highway 8a
Watonga, OK 73772-1038

Phone 512-948-1885

Mailing address

Po Box 427
Watonga, OK 73772-0427

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Watonga, OK

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