Individual
MRS. MISTI JAYNE MOON-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8125 S WALKER AVE STE A, OKLAHOMA CITY, OK 73139-9417
(405) 619-4479
Mailing address
2948 NW 33RD ST, NEWCASTLE, OK 73065-6580
(405) 410-3905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
73220
OK
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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