Individual
JEANNE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S.E. MAIN ST., KEOTA, OK 74941
(918) 966-3356
Mailing address
PO BOX 100, KEOTA, OK 74941-0100
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HC8043
OK
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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