Individual
MRS. LANISE JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202114
OK
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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