Individual
JESSICA LYNN DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
400 W FRESNO AVE, PONCA CITY, OK 74601-2419
(580) 485-9240
Mailing address
400 W FRESNO AVE, PONCA CITY, OK 74601-2419
(580) 485-9240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202668
OK
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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