Individual
JESSICA MIKI FOXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 SW 34TH ST STE 200, MOORE, OK 73160-3059
(405) 793-1188
(405) 793-0492
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 793-1188
(405) 793-0492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29308
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2012
Last updated
03/19/2019
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