Individual
JENNIFER LEE UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 632-6688
(844) 689-9671
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0062209
OK
363LP0200X
Pediatric Nurse Practitioner
20101919
OK
363LP2300X
Primary Care Nurse Practitioner
20101919
OK
Other
Enumeration date
07/28/2010
Last updated
04/02/2026
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