Individual
JORDAN DALE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1125 N PORTER AVE STE 200, NORMAN, OK 73071-6443
(405) 579-4673
Mailing address
1125 N PORTER AVE STE 200, NORMAN, OK 73071-6443
(405) 579-4673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200928
OK
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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