Individual
JIMMY STEVEN VAN SCHUYVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212594
OK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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