Individual
JACQUELYN RENAE TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 N BRYANT AVE, EDMOND, OK 73034-6302
(405) 341-8490
Mailing address
508 SPARROW HAWK DR, EDMOND, OK 73003
(405) 216-9612
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14727
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164525
NABP
OK
Enumeration date
01/13/2012
Last updated
01/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us