| NPI | 1801732870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SASSIN Ap RN 918-395-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-05-19 |