Individual
JAY W CUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
720 BRYAN DR STE A, DURANT, OK 74701-7032
(580) 615-3035
(580) 615-3060
Mailing address
720 BRYAN DR STE A, DURANT, OK 74701-7032
(580) 615-3035
(580) 615-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223199
OK
Other
Enumeration date
05/19/2025
Last updated
12/02/2025
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