Individual
TAWNA LYNN PICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 757-7818
Mailing address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 757-7818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205330
OK
Other
Enumeration date
09/07/2021
Last updated
06/06/2024
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