Individual
JENNIFER MCCAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
20213 NE 23RD ST STE B1, HARRAH, OK 73045-9144
(405) 347-9017
Mailing address
PO BOX 156, HARRAH, OK 73045-0156
(405) 347-9017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R0108302
OK
363L00000X
Nurse Practitioner
AP60958321
WA
363LF0000X
Family Nurse Practitioner
Primary
60961828
WA
363LF0000X
Family Nurse Practitioner
R0108302
OK
363LF0000X
Family Nurse Practitioner
RN60958318
WA
Other
Enumeration date
05/15/2019
Last updated
02/10/2022
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