Individual
JORDAN PERMAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CNP
Contact information
Practice address
1491 S SUNNYLANE RD, DEL CITY, OK 73115-3037
(405) 437-2240
(661) 231-3153
Mailing address
1491 S SUNNYLANE RD, DEL CITY, OK 73115-3037
(405) 437-2240
(661) 231-3153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218976
OK
Other
Enumeration date
11/27/2021
Last updated
08/26/2024
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