Individual
JACQUELINE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- CNP
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4960
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
89100
OK
363LF0000X
Family Nurse Practitioner
89100
OK
363LG0600X
Gerontology Nurse Practitioner
89100
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200869700A
—
OK
Enumeration date
09/16/2019
Last updated
03/26/2025
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