Individual
TERESA MELINDA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CFNP
Contact information
Practice address
1317 S DEWEY AVE, WAGONER, OK 74467-7013
(918) 401-1002
Mailing address
PO BOX 348, BRAGGS, OK 74423-0348
(918) 351-3431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99271
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901640A
—
OK
01
—
99271
OKLAHOMA BON
OK
Enumeration date
02/04/2020
Last updated
02/21/2024
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