Individual
MRS. JESSICA MARIE WELLS-BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 NE 10TH ST, OKLAHOMA CITY, OK 73104-5403
(405) 232-8003
(405) 232-8008
Mailing address
1226 N SHARTEL AVENUE, SUITE 300, OKLAHOMA CITY, OK 73103-5403
(405) 605-8280
(405) 232-8008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2102
OK
Other
Enumeration date
02/15/2012
Last updated
05/09/2019
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