Individual
MRS. IJEOMA CHIAMAKA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3606 M.L.K JR BLVD, TULSA, OK 74106
(918) 812-4510
Mailing address
13309 E 42ND ST, TULSA, OK 74134-5903
(918) 812-4510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207050
OK
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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