Individual
JACQLYN NICOLE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-PNP
Contact information
Practice address
715 W MAIN ST, JENKS, OK 74037-3554
(918) 745-0501
Mailing address
5025 S IRVINGTON CT, TULSA, OK 74135-6816
(918) 520-7078
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
222535
OK
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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