Individual
TABETHA JAREL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Mailing address
210 W ROBERT ST, POTEAU, OK 74953-2942
(918) 649-0069
(918) 649-0067
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
100665
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100665
APRN LICENSE NUMBE
OK
Enumeration date
08/09/2013
Last updated
02/14/2024
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