Individual
JENNIFER GWEN MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 N MAIN ST, ALTUS, OK 73521-1307
(580) 379-9090
(580) 379-9091
Mailing address
113 PEGGY DR, ELK CITY, OK 73644-1221
(580) 799-2763
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209960
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201135330A
—
OK
Enumeration date
08/25/2022
Last updated
01/11/2024
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