# CHEROKEE WOUND CARE

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

## Provider details

- **NPI number:** 1609670199
- **Authorized official:** JAY VAZQUEZ APRN (CEO)
- **Authorized official phone:** (918) 457-8638

## Contact information

- **Practice address:** 9198 HIGHWAY 82A, TAHLEQUAH, OK 74464-8613
- **Practice address phone:** (918) 457-8638
- **Mailing address:** 9198 HIGHWAY 82A, TAHLEQUAH, OK 74464-8613
- **Mailing address phone:** (918) 457-8638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 04/03/2025
