Individual
JENNIFER LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 NW 31ST ST, OKLAHOMA CITY, OK 73112-7406
(405) 730-0771
Mailing address
2809 NW 31ST ST, OKLAHOMA CITY, OK 73112-7406
(405) 730-0771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102855
OK
Other
Enumeration date
06/07/2019
Last updated
10/07/2020
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