Individual
JESSICA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2525 NW EXPRESSWAY, SUITE 624 A, OKLAHOMA CITY, OK 73112-7227
(405) 242-5070
(405) 242-5071
Mailing address
3501 NW 52ND ST, OKLAHOMA CITY, OK 73112-5614
(405) 234-0093
(405) 242-5071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0046357
OK
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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