Individual provider · Type 1 NPI

Jordan Patty

Peer Specialist · Sapulpa, OK

NPI number 1336763945 Active

Practice location

23 E Ross Ave
Sapulpa, OK 74066-6423

Mailing address

4103 S Yale Ave Ste B
Tulsa, OK 74135-6002

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1336763945

Jordan Patty's National Provider Identifier is 1336763945, issued on May 31, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sapulpa, OK. The record was last updated on May 31, 2020.