Individual
JENNIFER CARGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5404 SW LEE BLVD, LAWTON, OK 73505-9695
(580) 355-5242
(580) 355-5245
Mailing address
PO BOX 2309, SECTION 2, LAWTON, OK 73502-2309
(580) 355-5242
(580) 355-5245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
98917
OK
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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