Individual
JESSIE MINKEZE AWUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
13314 E 44TH ST, TULSA, OK 74134-5910
(405) 414-1223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
215712
OK
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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