Individual
JASON NATHANIEL KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
541 S LAHOMA AVE, NORMAN, OK 73069-5525
(202) 937-7918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0086475
OK
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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