Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake Gage Ferguson

Individual provider Peer Specialist · NPI 1336646058

Jake Gage Ferguson is a Peer Specialist in Pryor, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

109 N Fairland St
Pryor, OK 74361-4203
Phone: (918) 825-1405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1336646058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 9, 2018

Other providers in Pryor