JENNIFER LEE FULLER

IDABEL, OK
NPI1245803345
Former NameJENNIFER LEE RODGERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  204314)
Enumeration Date2021-07-19
Last Update Date2021-08-10
Business Address
JENNIFER LEE FULLER APRN-CNP
1302 S LYNN LN
IDABEL, OK 74745-6860
Phone number: 580-286-3993
Mailing Address
JENNIFER LEE FULLER APRN-CNP
1302 S LYNN LN
IDABEL, OK 74745-6860
Phone number: 580-286-3993
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