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Jennifer Lyn Stickelmeyer
Family Nurse Practitioner in Porter, Oklahoma
NPI 1548730559

Jennifer Lyn Stickelmeyer is a Family Nurse Practitioner based in Wagoner, OK and is specialized in Family. Jennifer Lyn Stickelmeyer practices in Porter, OK. The NPI Number for Jennifer Lyn Stickelmeyer is 1548730559 and holds a License No. R0069196 (Oklahoma).

The current practice location address for Jennifer Lyn Stickelmeyer is 505 S Main St, Porter, OK and can be reached out via phone at 918-483-0111.

Location: 505 S Main St, Porter, OK, 74467-6837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548730559
Provider Name
Jennifer Lyn Stickelmeyer
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 S Main St, Porter, OK, 74467-6837
Phone Number
918-483-0111
Fax Number
Provider Enumeration Date
12/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H081616683 01 OK DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
505 S Main St
City
Porter
State
Oklahoma
Zip
74454-1015
Phone Number
918-483-0111
Fax Number
person
Provider Business Mailing Address Details
Address
505 S Main St
City
Porter
State
Oklahoma
Zip
74454-1015
Phone Number
918-483-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R0069196 (Oklahoma)
Definition
Definition to come...
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