Individual
JENILEE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
2793 LEVERIDGE RD, SULPHUR, OK 73086-8658
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
99609
OK
Other
Enumeration date
07/31/2020
Last updated
09/04/2020
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