Individual
MRS. BETHANEY BUDDILYN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1030 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-0616
(918) 225-3740
Mailing address
1030 E CHERRY ST, CUSHING, OK 74023-4102
(918) 225-0616
(918) 225-3740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127530A
—
OK
Enumeration date
12/04/2007
Last updated
05/01/2014
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