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Sam Hider Community Clinic
Family Nurse Practitioner in Jay, Oklahoma
NPI 1659597706

Sam Hider Community Clinic is a Family Nurse Practitioner based in Jay, OK and is specialized in Family. Sam Hider Community Clinic practices in Jay, OK. The NPI Number for Sam Hider Community Clinic is 1659597706 and holds a License No. R0068852 (Oklahoma).

The current practice location address for Sam Hider Community Clinic is 1015 Washburn, Jay, OK and can be reached out via phone at 918-253-4271.

Location: 1015 Washburn, Jay, OK, 74346-5478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659597706
Provider Name
Sam Hider Community Clinic
Credential
Provider Entity Type
Organization
Address
1015 Washburn, Jay, OK, 74346-5478
Phone Number
918-253-4271
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8EC410 01 OK PROVIDER
institution
Provider Business Practice Location Address Details
Address
1015 Washburn
City
Jay
State
Oklahoma
Zip
74346
Phone Number
918-253-4271
Fax Number
person
Provider Business Mailing Address Details
Address
1015 Washburn
City
Jay
State
Oklahoma
Zip
74346
Phone Number
918-253-4271
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R0068852 (Oklahoma)
Definition
Definition to come...
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