Individual
JACQUELINE L GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2502 W ELK AVE, DUNCAN, OK 73533-1562
(580) 252-9600
(580) 252-6100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 312-7605
(605) 312-7611
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R0045906
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
45906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113640A
—
OK
01
—
100113640B
SOONERCARE CHOICE-LAWTON
OK
Enumeration date
09/14/2005
Last updated
06/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us