Whalio Doctors

NPI 1780071639

Jackie Sanders

Practitioner Licensed Practical Nurse Antlers, OK

Practice location

Address
107 S High St, Antlers, OK 74523-3818
Phone
(580) 298-2830
Fax
(580) 298-6723
Mailing address
PO Box 1030, Antlers, OK 74523-1030

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 33940 (OK)

Registry record

NPI
1780071639
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Apr 2015
Record last updated
17 Apr 2015

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.