Individual
JAYCI L PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9917 SE 15TH ST, MIDWEST CITY, OK 73130
(405) 622-2070
Mailing address
9917 SE 15TH ST, MIDWEST CITY, OK 73130-5504
(405) 622-2070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2402
OK
Other
Enumeration date
09/03/2014
Last updated
06/29/2023
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