Provider Demographics
NPI:1962244814
Name:SINCLAIR, CORRNETTE NESHARA
Entity type:Individual
Prefix:
First Name:CORRNETTE
Middle Name:NESHARA
Last Name:SINCLAIR
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 1:10621 E 66TH ST APT 349
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2664
Mailing Address - Country:US
Mailing Address - Phone:954-909-6541
Mailing Address - Fax:
Practice Address - Street 1:10621 E 66TH ST APT 349
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2664
Practice Address - Country:US
Practice Address - Phone:954-909-6541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator