person
Jacqueline L Gillespie, ARNP
Pediatric Nurse Practitioner in Duncan, Oklahoma
NPI 1346235488

Jacqueline L Gillespie is a Pediatric Nurse Practitioner based in Sioux Falls, OK and is specialized in Pediatrics. Jacqueline L Gillespie practices in Duncan, OK and has the professional credentials of ARNP. The NPI Number for Jacqueline L Gillespie is 1346235488 and holds a License No. R0045906 (Oklahoma).

The current practice location address for Jacqueline L Gillespie is 2502 W Elk Ave, Duncan, OK and can be reached out via phone at 580-252-9600 and via fax at 580-252-6100. You can also correspond with Jacqueline L Gillespie through the mailing address at PO BOX 5074, SIOUX FALLS, SD - 57117-5074 (mailing address contact number: 605-312-7605).

Location: 2502 W Elk Ave, Duncan, OK, 57117-5074
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Provider Profile Details
NPI Number
1346235488
Provider Name
Jacqueline L Gillespie
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2502 W Elk Ave, Duncan, OK, 57117-5074
Phone Number
580-252-9600
Fax Number
580-252-6100
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100113640A 05 OK
100113640B 01 OK SOONERCARE CHOICE-LAWTON
institution
Provider Business Practice Location Address Details
Address
2502 W Elk Ave
City
State
Zip
73533-1562
Phone Number
580-252-9600
Fax Number
580-252-6100
person
Provider Business Mailing Address Details
Address
Po Box 5074
City
State
Zip
57117-5074
Phone Number
605-312-7605
Fax Number
605-312-7611
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
45906 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R0045906 (Oklahoma)
Definition
Definition to come...
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