JACKLYN DAWN ROSE

SAPULPA, OK
NPI1700364387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  92995)
Enumeration Date2018-08-05
Last Update Date2018-08-05
Business Address
JACKLYN DAWN ROSE FNP-BC
303 E TAFT AVE STE 3
SAPULPA, OK 74066-5651
Phone number: 918-224-2222
Mailing Address
JACKLYN DAWN ROSE FNP-BC
303 E TAFT AVE STE 3
SAPULPA, OK 74066-5651
Phone number: 918-224-2222