Individual
NANCY A. JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1717A S UTICA AVE, TULSA, OK 74104-5344
(918) 748-1300
(918) 748-1303
Mailing address
2915 E 97TH PL, APT 1201, TULSA, OK 74137-7309
(918) 296-9477
(918) 748-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0059141
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039750A
—
OK
Enumeration date
10/12/2005
Last updated
02/12/2009
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