Individual
JESSE MICHAEL FARMER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1252 N 4080 RD, BOSWELL, OK 74727-9265
(660) 654-4009
Mailing address
1252 N 4080 RD, BOSWELL, OK 74727-9265
(660) 654-4009
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2014022224
MO
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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