Individual
MS. JESINELISIWE ANNABELLE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-4311
Mailing address
301 N WALKER AVE APT 11406, OKLAHOMA CITY, OK 73102-1817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0652R
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2021
Last updated
10/03/2024
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