Individual
JENNA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
2721 NW 21ST ST, OKLAHOMA CITY, OK 73107-3239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125444
OK
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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