Individual provider · Type 1 NPI
Kimberley Diane Jarvis
Peer Specialist · Prague, OK
NPI number
1396496899
Active
Practice location
11637 Ns 3580 Rd
Prague, OK 74864-6479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1396496899
Kimberley Diane Jarvis's National Provider Identifier is 1396496899, issued on Jan 16, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Prague, OK. The record was last updated on May 11, 2026.