Individual
ANNIKA MARIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 436-5111
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(405) 584-4078
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
208595
OK
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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