Individual
JENNA N. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1143B N MAIN ST, MUSKOGEE, OK 74401-4441
(189) 537-1973
(918) 537-1027
Mailing address
1143B N MAIN ST, MUSKOGEE, OK 74401-4441
(189) 537-1973
(918) 537-1027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210367
OK
363LF0000X
Family Nurse Practitioner
53-77499-052
KS
Other
Enumeration date
12/15/2016
Last updated
05/30/2023
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