Individual
BENITA JACOB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 NE 13TH ST, OKLAHOMA CITY, OK 73104-5040
(572) 244-0064
Mailing address
1000 NE 13TH ST # 1C, OKLAHOMA CITY, OK 73104-5040
(405) 204-7251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205708
OK
Other
Enumeration date
01/17/2022
Last updated
07/22/2026
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