Individual
MRS. JENNIFER NICOLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
908 W 6TH ST, CLAREMORE, OK 74017-3911
(918) 986-4272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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