Individual
JOCELYN LEIBOVICH DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5437
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
206101
OK
163W00000X
Registered Nurse
R106923
AR
363LP0222X
Critical Care Pediatric Nurse Practitioner
2022020683
MO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
206101
OK
363LP0222X
Critical Care Pediatric Nurse Practitioner
53-81312-062
KS
Other
Enumeration date
02/03/2020
Last updated
05/08/2023
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