Individual
JILL KATHLEEN BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CLC
Contact information
Practice address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6331
Mailing address
12469 KING CAMP RD, MANNFORD, OK 74044-6251
(918) 889-4765
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R104990
OK
Other
Enumeration date
01/10/2018
Last updated
06/16/2018
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