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Jessica Groetken

Case Manager/Care Coordinator in Tulsa, OK. Individual provider (NPI-1).

NPI number1982136677
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1982136677
Entity type
Individual (NPI-1)
Name
Jessica Groetken
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2017
Certification date
May 30, 2025
Last updated
May 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4636 S Harvard Ave
Tulsa, OK 74135-2908

Phone 918-382-7300

Mailing address

4636 S Harvard Ave
Tulsa, OK 74135-2908

Phone 918-382-7300

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