NPI 1003062423

Jackie Sue Tarr, LPN

Practitioner Licensed Practical Nurse Ponca City, OK

Practice location

Address: 1417 McGraw Dr, Ponca City, OK 74601-2948
Phone: (580) 765-1926

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L0018866 (OK)

Other Licensed Practical Nurse providers in Oklahoma →

Registry record

NPI: 1003062423
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2008
Record last updated: 18 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.