Individual
JENNY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 N KELLY AVE STE 100, EDMOND, OK 73003-0037
(405) 888-5616
Mailing address
2133 N KELLY AVE STE 100, EDMOND, OK 73003-0037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
220204
OK
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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