Individual
MISS JENNIFER LEA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
921 NE 13TH STREET, OKLAHOMA CITY, OK 73104
(405) 270-0507
Mailing address
921 NE 13TH STREET, OKLAHOMA CITY, OK 73104
(405) 270-0507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0069741
OK
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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