Individual provider · Type 1 NPI

Jack Wade Lethermon, DNP PMHNP

Psychiatric/Mental Health Nurse Practitioner · Claremore, OK

NPI number 1316722119 Active

About NPI 1316722119

Jack Wade Lethermon, DNP PMHNP's National Provider Identifier is 1316722119, issued on Aug 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Claremore, OK. The record was last updated on Apr 8, 2024.