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Individual

MS. JENEICE ANGELA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3440 RC LUTTRELL DR STE 102, NORMAN, OK 73072-9007
(405) 307-2623
(053) 075-6194
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-6630
(405) 307-6660

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0054197
OK
363LF0000X
Family Nurse Practitioner
R0054197
OK

Other

Enumeration date
11/13/2006
Last updated
11/02/2023
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