Individual
MRS. TERRINA ROMELLE BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 253-4271
(918) 253-2531
Mailing address
1015 W WASHBOURNE ST, P.O. BOX 350, JAY, OK 74346-4205
(918) 253-4271
(918) 253-2531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2000172822
MO
363LF0000X
Family Nurse Practitioner
Primary
73174
OK
363LF0000X
Family Nurse Practitioner
A03020 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166818758
—
AR
05
—
1922299072
—
MO
05
—
200127960A
—
OK
Enumeration date
08/05/2007
Last updated
07/17/2013
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