Individual
JENNA LYNN TRIBULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
(405) 734-2778
Mailing address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41402
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
07/25/2023
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