Individual
DEREK RICHARD JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
3301 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
Mailing address
3301 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
82672
OK
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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