Individual
MS. MARY JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6600 S YALE AVE, SUITE 750, TULSA, OK 74136-3347
(918) 502-8383
(918) 502-8385
Mailing address
6600 S YALE AVE, SUITE 750, TULSA, OK 74136-3347
(918) 502-8383
(918) 502-8385
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0104883
OK
Other
Enumeration date
06/20/2010
Last updated
05/02/2013
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