Individual
KENDRA JEAN FULBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3497
(918) 708-9009
(918) 708-1714
Mailing address
1640 W KEETOOWAH ST, TAHLEQUAH, OK 74464-3497
(918) 708-9009
(918) 708-1714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
207349
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207349
OK
Other
Enumeration date
06/21/2022
Last updated
12/03/2024
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