Provider Demographics
NPI:1477235109
Name:RIGGLE, JENNIFER KELLER
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:KELLER
Last Name:RIGGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 NW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-1403
Mailing Address - Country:US
Mailing Address - Phone:405-229-6187
Mailing Address - Fax:
Practice Address - Street 1:701 NW 22ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-1403
Practice Address - Country:US
Practice Address - Phone:405-229-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist