Individual
JESSICA LOAFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BHCMII
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Mailing address
1401 S SEMINOLE AVE, WEWOKA, OK 74884-3918
(405) 303-8597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0122054
OK
171M00000X
Case Manager/Care Coordinator
319647
OK
Other
Enumeration date
09/25/2023
Last updated
12/17/2024
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