Individual
JONATHAN CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3208 W OKLAHOMA AVE, ENID, OK 73703-5035
(575) 408-2795
Mailing address
3208 W OKLAHOMA AVE, ENID, OK 73703-5035
(575) 408-2795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80920
OK
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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