Provider Demographics
NPI:1902040660
Name:MEIGS, JENNIFER LYNN (MS)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:MEIGS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 WESTPARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4071
Mailing Address - Country:US
Mailing Address - Phone:405-449-5511
Mailing Address - Fax:405-347-7616
Practice Address - Street 1:2221 WESTPARK DR STE C
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4071
Practice Address - Country:US
Practice Address - Phone:405-449-5511
Practice Address - Fax:405-347-7616
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist