Individual
TERESA JAN DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 495-2685
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59932
OK
Other
Enumeration date
11/13/2011
Last updated
04/21/2015
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