Individual
SAMANTHA JANIECE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
601 E CARL ALBERT PKWY, MCALESTER, OK 74501-5113
(918) 233-6522
Mailing address
2359 KREBS LAKE RD, MCALESTER, OK 74501-2773
(918) 916-7142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224848
OK
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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