Individual
JORDAN ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-5813
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103873
OK
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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