Individual
JENNIFER WAHKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5623
(580) 354-5323
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5623
(580) 354-5323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52258
OK
Other
Enumeration date
09/16/2015
Last updated
10/14/2015
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