Individual
JENNA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 SW 89TH ST, 5108, OKLAHOMA CITY, OK 73159-7905
(920) 339-3364
Mailing address
3131 SW 89TH ST, 5108, OKLAHOMA CITY, OK 73159-7905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0120495C6068007
OK
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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