Jennifer Fannin Valid NPI

Individual provider · Licensed Practical Nurse · Okc, OK

NPI

1508187089

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

B9334731 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2010-06-18

Last updated

2010-06-18