Individual
JACKELINE VANESSA PICKELSIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNP, FNP
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111011
OK
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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