Individual
JENNY RAE MOHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1515 NORTH EAST LAWRIE TATUM ROAD, USPHS LAWTON INDIAN HOSPITAL, LAWTON, OK 73507
(580) 353-0350
Mailing address
1515N LAWRIE TATUM ROAD, USPHS LAWTON INDIAN HOSPITAL, LAWTON, OK 73507
(580) 353-0350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134293
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
16427
TN
Other
Enumeration date
02/07/2012
Last updated
08/06/2013
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