Individual
PRISCILLA RASHELLE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 S ELM ST # 101, JENKS, OK 74037-3701
(918) 403-7146
(918) 403-7169
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106811
OK
Other
Enumeration date
01/26/2022
Last updated
11/08/2022
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