Individual
JENNIFER RENEE MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2084
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439780 A
—
OK
Enumeration date
06/12/2012
Last updated
07/02/2013
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