Individual
JENNA KATHLEEN WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2017 W I 35 FRONTAGE RD STE 150, EDMOND, OK 73013-8556
(405) 757-3365
(405) 757-3498
Mailing address
2017 W I 35 FRONTAGE RD STE 150, EDMOND, OK 73013-8556
(405) 757-3365
(405) 757-3498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
86278
OK
Other
Enumeration date
11/15/2018
Last updated
03/11/2019
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