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Individual

JENNIFER L ENOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Contact information

Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
Mailing address
68 ARCHERY RANGE RD, SHAWNEE, OK 74801-5685

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94485
OK
363LF0000X
Family Nurse Practitioner
Primary
94485
OK

Other

Enumeration date
02/23/2018
Last updated
06/21/2021
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