Individual
JAMIE L BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1145 S UTICA AVE STE 202, TULSA, OK 74104-4022
(918) 579-3130
(918) 579-3139
Mailing address
1145 S UTICA AVE STE 202, TULSA, OK 74104-4022
(918) 579-3130
(918) 579-3139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
88900
OK
Other
Enumeration date
04/20/2015
Last updated
03/17/2018
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