JACKIE SANDERS
Licensed Practical Nurse
Active
Individual
NPI: 1780071639
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 33940 (OK) |
Frequently Asked Questions
NPI 1780071639 is the National Provider Identifier for JACKIE SANDERS, a Licensed Practical Nurse provider located in Antlers, OK. This NPI was enumerated on April 17, 2015.
JACKIE SANDERS practices at 107 S HIGH ST, Antlers, OK 74523.
Quick Facts
- NPI
- 1780071639
- Type
- Individual
- Enumerated
- Apr 17, 2015
- Last Updated
- Apr 17, 2015
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