Individual
JENNA AIZENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 S YALE AVE, SUITE 508, TULSA, OK 74136-8327
(918) 502-4040
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
106223
OK
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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