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Jessica Wallace — NPI 1659637478, Muse, OK | NPI Central

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Jessica Wallace

NPI 1659637478 · Community/Behavioral Health Agency · Muse, OK

Provider details

NPI number: 1659637478
Entity type: Individual
Primary specialty: Community/Behavioral Health AgencyAgencies
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community/Behavioral Health AgencyPrimary251S00000X
Agencies

Practice location

26652 Muse Road

Muse, OK 74949

Phone: (918) 567-1719

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

Box 26652 St. Hwy. 63

Hodgen, OK 74939

Registry dates

Enumerated: 2012-04-05
Last updated: 2012-04-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.