Individual
MRS. JENNIFER JOY BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3817 NW EXPRESSWAY, STE. 710, OKLAHOMA CITY, OK 73112-1489
(405) 943-8924
(405) 943-8967
Mailing address
6613 N MERIDIAN AVE, OKLAHOMA CITY, OK 73116-1423
(405) 603-8450
(405) 603-8455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APA1421
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052300A
—
OK
Enumeration date
07/26/2006
Last updated
09/17/2019
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