Individual
DR. JENNIFER REBECCA FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Mailing address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4995
OK
207R00000X
Internal Medicine Physician
L7640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164990701
—
TX
05
—
164990702
—
TX
01
—
7471615
AETNA
TX
01
—
8P5795
BCBS
TX
Enumeration date
04/13/2006
Last updated
02/24/2017
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