Individual
JYOTI PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19 NE 50TH ST, OKLAHOMA CITY, OK 73105-1807
(405) 516-0276
Mailing address
19 NE 50TH ST, OKLAHOMA CITY, OK 73105-1807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94786
OK
Other
Enumeration date
11/04/2018
Last updated
04/19/2019
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