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Individual

MRS. JENNIFER PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 774-1400
Mailing address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 774-1400

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
203920
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288261758
AR
05
288261758
OK
Enumeration date
07/12/2021
Last updated
01/12/2026
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