Individual
DR. JENNIFER L. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DFNP, APRN, NP-BC
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
1207 MAPLE AVE, ELGIN, OK 73538-9003
(580) 458-2373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81703
OK
363LP2300X
Primary Care Nurse Practitioner
81703
OK
Other
Enumeration date
07/26/2010
Last updated
11/13/2024
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