Individual
LAUREN RACHEL JEFFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40545 E 221ST ST S, PORTER, OK 74454-2931
(918) 606-3996
Mailing address
40545 E 221ST ST S, PORTER, OK 74454-2931
(918) 606-3996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118188
OK
363LF0000X
Family Nurse Practitioner
Primary
209766
OK
Other
Enumeration date
07/06/2022
Last updated
08/31/2022
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