Individual
JESSICA DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6252
Mailing address
20872 S CAREFREE DR, CLAREMORE, OK 74019-4262
(918) 378-0586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102673
OK
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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