Individual
JACEE DIANA HARCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1200 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4600
(405) 271-5884
(405) 271-1151
Mailing address
2444 HUNTLEIGH DR, OKLAHOMA CITY, OK 73120-3630
(405) 609-4513
(405) 271-1151
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
86705
OK
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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