Provider Demographics
NPI:1003657743
Name:PARRETT, JENNIFER LEA (MBA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEA
Last Name:PARRETT
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 SE BISON RD APT 824
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-7291
Mailing Address - Country:US
Mailing Address - Phone:918-884-4201
Mailing Address - Fax:
Practice Address - Street 1:6128 E 38TH ST # 824
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5832
Practice Address - Country:US
Practice Address - Phone:918-884-4201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator