Individual
JEANNIE MARIE WYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
4303 PITMAN ST, FORT SILL, OK 73503-4473
(580) 678-3856
Mailing address
4303 PITMAN ST, FORT SILL, OK 73503-4473
(580) 585-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89845
OK
Other
Enumeration date
01/07/2020
Last updated
10/26/2024
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