| NPI | 1619622230 |
|---|---|
| Doing Business As | VISITING NP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER YEAMAN Nurse Practitioner 405-562-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |