Individual
AMY BETH HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3254 W 113TH ST S, JENKS, OK 74037-2477
(405) 255-1523
Mailing address
3254 W 113TH ST S, JENKS, OK 74037-2477
(405) 255-1523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0092579
OK
363LF0000X
Family Nurse Practitioner
Primary
205075
OK
Other
Enumeration date
12/20/2020
Last updated
08/16/2021
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