Individual
JULIE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1630 S KERR BLVD, SALLISAW, OK 74955-7240
(918) 790-2653
(918) 790-2763
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R85644
OK
363LF0000X
Family Nurse Practitioner
Primary
85644
OK
Other
Enumeration date
08/24/2015
Last updated
05/27/2020
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