DR. Jack Wade Lethermon, DNP PMHNP is a psychiatric/mental health nurse practitioner in Claremore, OK with 1 years of experience. DR. Jack Wade Lethermon, DNP PMHNP NPI is 1316722119. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
505 W 1ST ST
CLAREMORE, OK
ZIP 74017-803
Phone: (918) 606-5225
The NPI 1316722119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/29/2023 and was last updated on 4/8/2024.