Individual
JERRI SUZETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.C.P.
Contact information
Practice address
738 8TH ST, WARNER, OK 74469-2005
(918) 463-2055
(918) 463-2032
Mailing address
PO BOX 529, WARNER, OK 74469-0529
(918) 463-2055
(918) 463-2032
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
620
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332B00000X
—
OK
Enumeration date
01/13/2009
Last updated
05/26/2020
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