Individual
MS. JEANETTE SUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3330 NW 56TH ST STE 106, OKLAHOMA CITY, OK 73112-4426
(405) 563-8961
(888) 521-6702
Mailing address
3330 NW 56TH ST STE 106, OKLAHOMA CITY, OK 73112-4426
(405) 563-8961
(888) 521-6702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50731
OK
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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