Individual
JAYMIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 S VAN BUREN ST, ENID, OK 73703-5812
(580) 234-9355
Mailing address
2902 W CHESTNUT AVE, ENID, OK 73703-3908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
225170
OK
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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