Individual
TERRI LYNN RICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN, AGPCNP-BC
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(918) 683-5677
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
708296
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
95206
OK
Other
Enumeration date
05/16/2017
Last updated
07/21/2022
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