Individual
JAMI GRANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1000 KINGFISHER REG HOSP DR, KINGFISHER, OK 73750
(405) 375-7847
(405) 375-7849
Mailing address
1000 KINGFISHER REG HOSP DR, KINGFISHER, OK 73750
(405) 375-7847
(405) 375-7849
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
69333
OK
363L00000X
Nurse Practitioner
Primary
69333
OK
Other
Enumeration date
06/15/2016
Last updated
08/26/2016
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