Individual
JESSICA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14400 N PORTLAND AVE, OKLAHOMA CITY, OK 73134-4007
(405) 842-8495
Mailing address
3597 SOUTHRIDGE LN NE, PIEDMONT, OK 73078-4265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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