Individual
JENNIFER CARLENE BIRKENBUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5252 N MERIDIAN AVE, #105, OKLAHOMA CITY, OK 73112-2178
(405) 946-3373
(405) 949-2387
Mailing address
PREMISE HEALTH, 109 NE 40TH ST, OKLAHOMA CITY, OK 73105
(405) 438-0206
(405) 438-0207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015920A
—
OK
Enumeration date
10/16/2006
Last updated
05/29/2025
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