Individual
JACKIE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
(918) 686-8398
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
(918) 686-8398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0039734
OK
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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