Organization
CROSSROADS FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSI RUNYAN APRN-CNP (OWNER/PROVIDER)
(580) 618-5686
Entity
Organization
Contact information
Practice address
333 W MAIN ST STE 245, ARDMORE, OK 73401-6300
(580) 618-5686
(949) 798-7827
Mailing address
333 W MAIN ST STE 245, ARDMORE, OK 73401-6300
(580) 618-5686
(949) 798-7827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
11/19/2023
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