person
Jena Deitrick
Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma
NPI 1063077683

Jena Deitrick is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. Jena Deitrick practices in Oklahoma City, OK. The NPI Number for Jena Deitrick is 1063077683 and holds a License No. (Oklahoma).

The current practice location address for Jena Deitrick is 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK and can be reached out via phone at 405-271-6900.

Location: 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK, 73120-3038
person
Provider Profile Details
NPI Number
1063077683
Provider Name
Jena Deitrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK, 73120-3038
Phone Number
405-271-6900
Fax Number
Provider Enumeration Date
05/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Stanton L Young Blvd # Wp3150
City
State
Zip
73104-5036
Phone Number
405-271-6900
Fax Number
person
Provider Business Mailing Address Details
Address
920 Stanton L Young Blvd # Wp3150
City
State
Zip
73104-5036
Phone Number
405-271-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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