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Justin Jimmy Fowler, APRN;CNP-F
Family Nurse Practitioner in Del City, Oklahoma
NPI 1871138875

Justin Jimmy Fowler is a Family Nurse Practitioner based in Del City, OK and is specialized in Family. Justin Jimmy Fowler practices in Del City, OK and has the professional credentials of APRN;CNP-F. The NPI Number for Justin Jimmy Fowler is 1871138875 and holds a License No. 108084 (Oklahoma).

The current practice location address for Justin Jimmy Fowler is 905 Vickie Dr, Del City, OK and can be reached out via phone at 580-559-6348.

Location: 905 Vickie Dr, Del City, OK, 73115-3949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871138875
Provider Name
Justin Jimmy Fowler
Credential
APRN;CNP-F
Provider Entity Type
Individual
Gender
Male
Address
905 Vickie Dr, Del City, OK, 73115-3949
Phone Number
580-559-6348
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F082768098 01 OK OKLAHOMA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
905 Vickie Dr
City
Del City
State
Oklahoma
Zip
73115-3949
Phone Number
580-559-6348
Fax Number
person
Provider Business Mailing Address Details
Address
905 Vickie Dr
City
Del City
State
Oklahoma
Zip
73115-3949
Phone Number
580-559-6348
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
108084 (Oklahoma)
Definition
Definition to come...
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