Individual
JUDY ANN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD STE 501, BARTLESVILLE, OK 74006-2405
(918) 331-2415
(918) 331-2551
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 403-7066
(918) 744-2946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217779
OK
363LF0000X
Family Nurse Practitioner
53-78421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200806790A
—
OK
Enumeration date
08/16/2017
Last updated
03/25/2025
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