Individual
HEATHER JANELLE BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1020 N LAWSON BLVD, CLAYTON, OK 74536
(918) 917-9999
(918) 569-7343
Mailing address
PO BOX 219, CLAYTON, OK 74536-0219
(918) 917-9999
(918) 569-7343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214759
OK
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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