Individual
JACKIE SUE TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1417 MCGRAW DR, PONCA CITY, OK 74601-2948
(580) 765-1926
Mailing address
1417 MCGRAW DR, PONCA CITY, OK 74601-2948
(580) 765-1926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0018866
OK
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us