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Individual

JACLYN DANIELLE SHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
800 N.E. 10TH STREET, SUITE 2100, OKLAHOMA CITY, OK 73104-5418
(405) 271-8707
(405) 271-2976
Mailing address
800 N.E. 10TH STREET, SUITE 5050, OKLAHOMA CITY, OK 73104-5418
(405) 271-7770
(405) 271-2766

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
79370
OK

Other

Enumeration date
09/14/2011
Last updated
03/11/2021
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