Individual
JENNIFER JANETTE VANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
800 W BOISE CIR STE 160, BROKEN ARROW, OK 74012-4932
(918) 994-9160
Mailing address
800 W BOISE CIR STE 160, BROKEN ARROW, OK 74012-4932
(918) 994-9160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96202
OK
Other
Enumeration date
06/02/2016
Last updated
09/06/2024
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