Individual
JANE F DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
Mailing address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R30396
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003010A
—
OK
Enumeration date
04/05/2006
Last updated
03/17/2018
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