Individual
JEFFERSON MBENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2828 NW 57TH ST STE 304, OKLAHOMA CITY, OK 73112-7070
(405) 418-4777
(405) 745-4515
Mailing address
2828 NW 57TH ST STE 304, OKLAHOMA CITY, OK 73112-7070
(405) 418-4777
(405) 753-4515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217427
OK
Other
Enumeration date
05/16/2012
Last updated
05/08/2024
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