Organization
BYRD HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALYN DENISE BYRD APRN-CNP (FAMILY NURSE PRACTITIONER)
(405) 250-0017
Entity
Organization
Contact information
Practice address
5622 N PORTLAND AVE, #102, OKLAHOMA CITY, OK 73112-2096
(405) 917-7590
(405) 917-7595
Mailing address
5622 N PORTLAND AVE, #102, OKLAHOMA CITY, OK 73112-2096
(405) 917-7590
(405) 917-7595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92389
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200545340A
—
OK
Enumeration date
09/29/2014
Last updated
09/29/2014
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