Individual
JESSICA RIVERA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 N EAST ST, GUYMON, OK 73942-3333
(580) 338-4638
Mailing address
216 NE 18TH ST, GUYMON, OK 73942-2813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225671
OK
Other
Enumeration date
09/12/2025
Last updated
10/24/2025
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