Individual
MS. JAMIE LARIE KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
2617 S ELM PL, BROKEN ARROW, OK 74012-7850
(918) 455-4541
(918) 455-0414
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
(918) 403-6315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54344
OK
Other
Enumeration date
11/16/2017
Last updated
07/22/2019
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