Individual
JENNIFER NGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 376-8000
Mailing address
1215 S BOULDER AVE, TULSA, OK 74119-2842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205916
OK
363LF0000X
Family Nurse Practitioner
Primary
205916
OK
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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