Individual
JESSICA ANN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2907 S BOSTON CT, TULSA, OK 74114-5214
(580) 277-5551
Mailing address
2907 S BOSTON CT, TULSA, OK 74114-5214
(580) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89364
OK
Other
Enumeration date
06/20/2012
Last updated
12/14/2019
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