Individual
JENNIFER LYN FALTER
Active
Individual
JENNIFER LYN FALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
205679
OK
207Q00000X
Family Medicine Physician
205679
OK
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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