Individual
JACQUELINE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
83386
OK
Other
Enumeration date
07/05/2016
Last updated
06/20/2019
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