Individual
JAY DANIEL FASHIMPAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5224 E I 240 SERVICE RD STE 303, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
220114
OK
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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