Provider Demographics
NPI:1518755594
Name:DOYEBI, JERROLYN LOUISE
Entity type:Individual
Prefix:
First Name:JERROLYN
Middle Name:LOUISE
Last Name:DOYEBI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35101 COUNTY STREET 2600
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2354
Mailing Address - Country:US
Mailing Address - Phone:580-425-0317
Mailing Address - Fax:
Practice Address - Street 1:208 HARDEE STREET WEST
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005
Practice Address - Country:US
Practice Address - Phone:405-648-0943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator