Individual provider · Type 1 NPI
Brenda Darlene Jetton
Specialist · Mounds, OK
NPI number
1144435405
Active
Practice location
18414 S Hwy 75
Mounds, OK 74047-7411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 200063440A (OK) |
| Specialist | 174400000X | 20063440B (OK) |
| Specialist Primary | 174400000X | 20063440C (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Mounds
About NPI 1144435405
Brenda Darlene Jetton's National Provider Identifier is 1144435405, issued on May 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mounds, OK. The record was last updated on Jul 8, 2007.