Individual
JENNIFER SUE SASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1101 W MAIN ST # 112, COLLINSVILLE, OK 74021-3112
(918) 553-8613
Mailing address
735 E 129TH PL S, JENKS, OK 74037
(918) 629-7233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201598
OK
Other
Enumeration date
08/31/2021
Last updated
09/01/2021
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