IndividualActive
Eleacia Jordan
NPI 1902690977 · Peer Specialist · Stilwell, OK
Provider details
- NPI number
- 1902690977
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
611 N 4th St
Stilwell, OK 74960-2417
Phone: (918) 696-6212
Approximate (ZIP-level) locationGet directions
Mailing address
611 N 4th St
Stilwell, OK 74960-2417
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.