Individual
JENNIFER PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
Mailing address
4729 REDBUD ST, WOODWARD, OK 73801-3853
(580) 216-0113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0062256
OK
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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