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Individual

JULIA LAVERNE FURNISS-ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
432 S 9TH STREET, JAY, OK 74346
(918) 253-4511
Mailing address
103 LION DR N, GRAVETTE, AR 72736-8621
(479) 212-0951

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
68281
OK
363LW0102X
Women's Health Nurse Practitioner
A003077
AR
363LW0102X
Women's Health Nurse Practitioner
Primary
M0068281
OK
363LW0102X
Women's Health Nurse Practitioner
R751003
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177023758
AR
05
200543710A
OK
Enumeration date
04/03/2008
Last updated
03/20/2023
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