Individual
MRS. JENNIFER ANNE BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(140) 530-8590
Mailing address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(140) 530-8590
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2212
OK
Other
Enumeration date
02/13/2013
Last updated
03/02/2015
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