Individual
JENNIFER ANN WATTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
6218 S LEWIS AVE, STE 110, TULSA, OK 74136-1018
(918) 743-5067
Mailing address
6218 S LEWIS AVE, STE 110, TULSA, OK 74136-1018
(918) 743-5067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78784
OK
Other
Enumeration date
11/28/2012
Last updated
09/19/2016
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