Individual
JANNA KAYE CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0113939
OK
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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