Individual
JESSICA LYNN WREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CPNP
Contact information
Practice address
2325 S HAVARD, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
6030 E 52ND PL, TULSA, OK 74135-7706
(918) 633-8502
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
73006
OK
Other
Enumeration date
08/08/2007
Last updated
02/28/2023
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