Individual
JODI D. MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
10011 S YALE AVE, SUITE 200, TULSA, OK 74137-6078
(918) 493-1114
(918) 392-0128
Mailing address
10011 S YALE AVE, SUITE 200, TULSA, OK 74137-6078
(918) 493-1114
(918) 392-0128
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ROO72480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026750A
—
OK
Enumeration date
03/02/2006
Last updated
05/03/2010
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