Individual
MR. ANDREW JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, PMGT-BC
Contact information
Practice address
5104 S SOONER RD, OKLAHOMA CITY, OK 73135-5440
(405) 438-0913
Mailing address
5104 S SOONER RD, OKLAHOMA CITY, OK 73135-5440
(405) 438-0913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104858
OK
Other
Enumeration date
05/04/2017
Last updated
08/19/2021
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