Individual
JODEE CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
803 N FOREMAN ST, SUITE 102, VINITA, OK 74301-1435
(918) 964-9361
(918) 256-2304
Mailing address
803 N FOREMAN ST, SUITE 102, VINITA, OK 74301-1435
(918) 256-2261
(918) 256-2304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74260
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200596820A
—
OK
Enumeration date
07/14/2015
Last updated
05/17/2024
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