# JENNIE M HUNNEWELL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487106431
- **Authorized official:** DR. JENNIE M HUNNEWELL MD (CEO)
- **Authorized official phone:** (405) 409-8369

## Contact information

- **Practice address:** 5101 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2018
- **Practice address phone:** (405) 463-5700
- **Mailing address:** 5709 ROSEBAY CT, OKLAHOMA CITY, OK 73142-1812
- **Mailing address phone:** (405) 463-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 20314 | OK | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 09/29/2023