Provider Demographics
NPI:1184514663
Name:SCRAPER, JARET
Entity type:Individual
Prefix:
First Name:JARET
Middle Name:
Last Name:SCRAPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77383 HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960-3462
Mailing Address - Country:US
Mailing Address - Phone:918-575-4160
Mailing Address - Fax:
Practice Address - Street 1:1418 W HICKORY ST
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-3247
Practice Address - Country:US
Practice Address - Phone:918-575-0479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator