Individual
MRS. JENNIFER AMANDA MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-5266
Mailing address
7109 MESA DR, BLANCHARD, OK 73010-7098
(405) 392-5685
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R71993
OK
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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