Individual
JENNIFER A THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
1212 GRAND MNR, MIDWEST CITY, OK 73130-6103
(405) 535-1121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
205329
OK
Other
Enumeration date
08/30/2021
Last updated
09/02/2021
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