Individual
JENECA KRAFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Mailing address
1104 W FULTON ST, BROKEN ARROW, OK 74012-7684
(918) 849-5927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0128837
OK
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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