Individual provider · Type 1 NPI

Jessica Nicole Cantrell

Peer Specialist · Mcloud, OK

NPI number 1720711252 Active

Practice location

7146 Walton Ln
Mcloud, OK 74851-8185

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 1720711252

Jessica Nicole Cantrell's National Provider Identifier is 1720711252, issued on Jul 1, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcloud, OK. The record was last updated on Sep 11, 2025.