Provider Demographics
NPI:1518296151
Name:MARLER, JENNIFER RENAE (CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RENAE
Last Name:MARLER
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:R
Other - Last Name:KROENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4913 W RENO AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-6339
Mailing Address - Country:US
Mailing Address - Phone:405-948-4900
Mailing Address - Fax:409-948-4919
Practice Address - Street 1:7777 E ROUTE 66
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-0000
Practice Address - Country:US
Practice Address - Phone:405-422-8800
Practice Address - Fax:405-422-8818
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK56438164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse