Individual
JENNIFER DAWN AXELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2480 W PECKHAM RD, NEWKIRK, OK 74647-8579
(605) 321-7961
Mailing address
2480 W PECKHAM RD, NEWKIRK, OK 74647-8579
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R034931
SD
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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