Individual
JAMIE LANETTE SCANTLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-2202
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115876
OK
Other
Enumeration date
09/06/2017
Last updated
07/24/2019
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