Individual provider · Type 1 NPI
Jackie Dalizu Mwendwa, CNP
Family Nurse Practitioner · Broken Arrow, OK
NPI number
1134896236
Active
Practice location
1800 W Albany Dr Apt 2026
Broken Arrow, OK 74012-5853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 205174 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134896236
Jackie Dalizu Mwendwa, CNP's National Provider Identifier is 1134896236, issued on Aug 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 26, 2021.