JO ETTA HYDE NPI 1689543779

NPI Information

  • NPI: 1689543779
  • Provider Name: JO ETTA HYDE
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 99003 S 4749 RD
    MULDROW, OK
    ZIP 74948
  • Phone: (479) 651-9707

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NPI Details

Jo Etta Hyde is a peer specialist in Muldrow, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jo Etta Hyde NPI is 1689543779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

99003 S 4749 RD
MULDROW, OK
ZIP 74948-310
Phone: (479) 651-9707

The enumeration date for this NPI number is 11/5/2025 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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