Individual
JENNIFER ANNE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
1202 W CHEROKEE ST STE H, WAGONER, OK 74467-4629
(918) 485-7020
Mailing address
1202 W CHEROKEE ST STE H, WAGONER, OK 74467-4629
(918) 485-7020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R73419
OK
Other
Enumeration date
06/11/2008
Last updated
04/01/2023
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