Individual
JENNIFER A HARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
115 N MUSTANG RD, MUSTANG, OK 73064-3912
(405) 256-5595
Mailing address
2513 NW 158TH ST, EDMOND, OK 73013-8870
(405) 245-7868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84659
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13682594
CAQH
—
Enumeration date
01/25/2016
Last updated
12/14/2022
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