Individual
JAMIE NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31870 E HWY 51, COWETA, OK 74429
(918) 279-3340
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 591-5704
(918) 752-0204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204984
OK
Other
Enumeration date
11/08/2021
Last updated
11/26/2021
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