IndividualActive
Alice Jean, MD, MPH, DIPABLM
NPI 1255995155 · Family Medicine Physician · Ada, OK
Provider details
- NPI number
- 1255995155
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH, DIPABLM
- Sex
- Female
- Sole proprietor
- No
- License
- TLL-2022-003 (GU)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1921 Stonecipher Blvd
Ada, OK 74820-3439
Phone: (580) 426-3980
Approximate (ZIP-level) locationGet directions
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820-3439
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.