Individual
JENNIFER JO MAGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3840 S 103RD EAST AVE STE 100, TULSA, OK 74146-2445
(918) 921-9700
(918) 292-8263
Mailing address
3840 S 103RD EAST AVE STE 100, TULSA, OK 74146-2445
(918) 921-9700
(918) 292-8263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62199
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200587960A
—
OK
Enumeration date
11/05/2012
Last updated
01/14/2021
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