Individual
JENNIFER MARIE LORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
(918) 579-5404
Mailing address
1120 S UTICA AVE, SUITE 2123, TULSA, OK 74104-4012
(918) 579-5402
(918) 579-5404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59825
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200129290A
—
OK
Enumeration date
01/17/2008
Last updated
11/21/2011
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