Individual
KOURTNEY LYNN GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6717 S YALE AVE STE 210, TULSA, OK 74136-3328
(918) 675-0068
Mailing address
PO BOX 218, JENKS, OK 74037-0218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200137
OK
Other
Enumeration date
11/12/2020
Last updated
09/05/2025
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