IndividualActive
Andrew Wickline
NPI 1073237913 · Case Manager/Care Coordinator · Jay, OK
Provider details
- NPI number
- 1073237913
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1015 W Washbourne St
Jay, OK 74346-4205
Phone: (918) 868-7489
Approximate (ZIP-level) locationGet directions
Mailing address
1015 W Washbourne St
Jay, OK 74346-4205
Registry dates
- Enumerated
- 2022-10-03
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.