Provider Demographics
NPI:1346807815
Name:AUPPERLE, JAIME ELIZABETH
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ELIZABETH
Last Name:AUPPERLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 KIOWA ST
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-2280
Mailing Address - Country:US
Mailing Address - Phone:580-670-0117
Mailing Address - Fax:
Practice Address - Street 1:2530 S COMMERCE ST BLDG B
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-5519
Practice Address - Country:US
Practice Address - Phone:580-223-5636
Practice Address - Fax:580-226-6727
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty