Individual
TERESA JEANN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-3909
Mailing address
PO BOX 400, NORMAN, OK 73070-0400
(405) 573-3909
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R0074769
OK
Other
Enumeration date
03/05/2009
Last updated
11/23/2010
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