Organization
EBENEZERTELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GEORGE FNP (OWNER)
(405) 501-6154
Entity
Organization
Contact information
Practice address
5625 NW 130TH ST, OKLAHOMA CITY, OK 73142-6085
(405) 501-6154
Mailing address
5625 NW 130TH ST, OKLAHOMA CITY, OK 73142-6085
(405) 501-6154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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