Individual
JONELLE ELIZABETH BERKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 2040, OKLAHOMA CITY, OK 73104-5036
(970) 404-2451
Mailing address
920 STANTON L YOUNG BLVD STE 2040, OKLAHOMA CITY, OK 73104-5036
(970) 404-2451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4489
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2020
Last updated
08/24/2021
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