Individual
JESECA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N UNION AVE, SHAWNEE, OK 74804-1418
(405) 273-0403
Mailing address
4300 N UNION AVE, SHAWNEE, OK 74804-1418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0106711
OK
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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