Individual
DR. JESSICA MARIE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114-7815
(405) 445-1210
Mailing address
440 NE 22ND ST, NEWCASTLE, OK 73065-8300
(405) 996-0552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219887
OK
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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