Individual
JENNIFER R ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4919
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
99456
OK
163WC0400X
Case Management Registered Nurse
Primary
99456
OK
Other
Enumeration date
10/24/2012
Last updated
01/27/2021
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