Individual
JACQUELINE TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 342-2558
Mailing address
14090 S 4180 RD, CLAREMORE, OK 74017-3496
(918) 693-4576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85792
OK
363LF0000X
Family Nurse Practitioner
85792
OK
Other
Enumeration date
10/26/2017
Last updated
08/30/2019
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