Individual
JESSICA CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0065893
OK
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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