Individual
MR. JEFFREY DAVID MUNHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
2510 CHICKASAW BLVD, ARDMORE, OK 73401-1341
(580) 226-8181
(580) 421-6283
Mailing address
1925 WARRIOR WAY, ADA, OK 74820-3491
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89570
OK
Other
Enumeration date
11/19/2012
Last updated
07/10/2024
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