Individual ProviderJennifer CreecyCase Manager/Care CoordinatorOther Service ProvidersPractice Address1510 N Minnesota Ave, Shawnee, OK 74804-3841(405) 401-3229PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Creecy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508223314Provider TypeIndividualFull NameCreecy, JenniferCredentialBAGenderFemaleSole ProprietorYesEnumeration Date1/25/2016Last Updated1/25/2016Contact InformationPractice LocationPractice Address1510 N Minnesota Ave, Shawnee, OK 74804-3841Phone(405) 401-3229FaxUnlisted FaxMailing LocationMailing Address1510 N Minnesota Ave, Shawnee, OK 74804-3841Phone(405) 401-3229FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer