Individual
JACQUELINE R FROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1145 S UTICA AVE, STE 110, TULSA, OK 74104-4000
(918) 560-3823
(918) 560-5761
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 560-3823
(918) 560-5761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123756
OK
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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