Individual
JUSTICE KAELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114-7815
(405) 445-1210
Mailing address
PO BOX 13620, OKLAHOMA CITY, OK 73113-1629
(405) 445-1210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213376
OK
Other
Enumeration date
06/15/2023
Last updated
04/28/2025
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