Individual
JENNIFER K BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
721 S GEORGE NIGH EXPY STE 1, MCALESTER, OK 74501
(918) 558-2908
(918) 558-2904
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
(405) 972-7239
(405) 753-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200397010A
—
OK
Enumeration date
01/25/2011
Last updated
05/16/2023
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