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Jacklyn Dawn Rose, FNP-BC
Family Nurse Practitioner in Sapulpa, Oklahoma
NPI 1700364387

Jacklyn Dawn Rose is a Family Nurse Practitioner based in Sapulpa, OK and is specialized in Family. Jacklyn Dawn Rose practices in Sapulpa, OK and has the professional credentials of FNP-BC. The NPI Number for Jacklyn Dawn Rose is 1700364387 and holds a License No. 92995 (Oklahoma).

The current practice location address for Jacklyn Dawn Rose is 303 E Taft Ave Ste 3, Sapulpa, OK and can be reached out via phone at 918-224-2222.

Location: 303 E Taft Ave Ste 3, Sapulpa, OK, 74066-5651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700364387
Provider Name
Jacklyn Dawn Rose
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
303 E Taft Ave Ste 3, Sapulpa, OK, 74066-5651
Phone Number
918-224-2222
Fax Number
Provider Enumeration Date
08/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
303 E Taft Ave Ste 3
City
Sapulpa
State
Oklahoma
Zip
74066-5651
Phone Number
918-224-2222
Fax Number
person
Provider Business Mailing Address Details
Address
303 E Taft Ave Ste 3
City
Sapulpa
State
Oklahoma
Zip
74066-5651
Phone Number
918-224-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
92995 (Oklahoma)
Definition
Definition to come...
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