Individual
AMY S JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1705 E 19TH ST STE 302, TULSA, OK 74104
(918) 748-7585
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
79962
OK
Other
Enumeration date
11/18/2009
Last updated
06/08/2018
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