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Individual

NIKOLE JERE MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CRNA

Contact information

Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
2912 N TRAIL RIDGE RD, EDMOND, OK 73012-4552
(405) 370-5165

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
205317
OK

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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