Individual
JESSICA KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8116 NW 161ST TER, EDMOND, OK 73013-5510
(785) 408-4676
Mailing address
8116 NW 161ST TER, EDMOND, OK 73013-5510
(785) 408-4676
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F08200780
OK
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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