Individual
JAMIE MARIE ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-APN
Contact information
Practice address
6744 NW CACHE RD, LAWTON, OK 73505-2702
(580) 536-9355
Mailing address
14830 SE 51ST ST, CHOCTAW, OK 73020-5561
(580) 512-9119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90507
OK
Other
Enumeration date
03/07/2017
Last updated
02/11/2019
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