| NPI | 1639804602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI JONES Owner 405-492-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2025-01-16 |