Individual
MS. BEVERLY SUE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Mailing address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0046163
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620D
—
OK
Enumeration date
01/22/2009
Last updated
01/22/2009
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