Individual provider · Type 1 NPI

Jimmie Peterson

Peer Specialist · Oklahoma City, OK

NPI number 1417483405 Active

Practice location

4913 W Reno Ave
Oklahoma City, OK 73127-6339

Call (405) 948-4900 Map

Fax (405) 948-4933

Other practice locations

  • 12821 Stratford Dr Apt 236, Oklahoma City, OK 73120-8438 · (405) 361-9807

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1417483405

Jimmie Peterson's National Provider Identifier is 1417483405, issued on May 11, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 22, 2020.