Individual
JULIE ANN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5401 SW 29TH ST, OKLAHOMA CITY, OK 73179-7602
(405) 686-7828
Mailing address
2813 N GROVE PL, OKLAHOMA CITY, OK 73127-1711
(405) 406-1077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0049748
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0049748
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
11/13/2020
Last updated
11/13/2020
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