Individual
MRS. JENNIFER CAROL REXROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Mailing address
903 N OSAGE ST, CHOUTEAU, OK 74337-3777
(918) 476-7779
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0062121
OK
Other
Enumeration date
06/20/2005
Last updated
08/08/2019
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