Individual
JANA SUE BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 6100, OKLAHOMA CITY, OK 73104-4600
(405) 271-6827
(405) 271-4418
Mailing address
13505 FOX CREEK DR, OKLAHOMA CITY, OK 73131-1279
(405) 478-5789
(405) 271-6865
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0029827
OK
Other
Enumeration date
02/16/2006
Last updated
01/24/2011
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