Individual
TERRY J JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1919 S WHEELING AVE, SUITE 204, TULSA, OK 74104-5638
(918) 403-7200
(918) 293-3110
Mailing address
1919 S WHEELING AVE, SUITE 204, TULSA, OK 74104-5638
(918) 403-7200
(918) 293-3110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0045543
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132330A
—
OK
Enumeration date
02/15/2008
Last updated
03/18/2015
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