Individual
MS. JO LESLIE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ARNP
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2553
(918) 660-3614
Mailing address
2404 CORNERSTONE CIR, CLAREMORE, OK 74017-2030
(918) 527-3969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R004213
OK
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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