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NPI Code Detail

MEDICARE: JOCELYN ANDREA ESLICK NP

MEDICARE: JOCELYN ANDREA ESLICK NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner107525OK

General Provider Information

NPI Number : 1730725649
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN ANDREA ESLICK NP
Provider Business Mailing Address
First Line : 1701 RENAISSANCE BLVD STE 110
Second Line :
City : EDMOND
State : OK
Zip : 73013-3084
Country : US
Telephone Number : 405-844-4978
Fax Number : 405-844-0562
Provider Business Practice Location Address
First Line : 6135 S 90TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74133-6365
Country : US
Telephone Number : 539-215-5609
Fax Number : 539-233-2480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2019
Last Update Date : 01/13/2020

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Directions to “ JOCELYN ANDREA ESLICK NP” Practice Location

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