Individual
NICOLE TERESA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2417 WESTPORT DR, NORMAN, OK 73069-6337
(405) 701-2424
(405) 701-2455
Mailing address
2417 WESTPORT DR, NORMAN, OK 73069-6337
(405) 701-2424
(405) 701-2455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23235
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011880A
—
OK
01
—
900522099
GROUP MEDICARE ID NBR
—
Enumeration date
07/07/2006
Last updated
05/08/2017
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