Individual provider · Type 1 NPI

Ashley Dawn Sourjohn

Family Nurse Practitioner · Claremore, OK

NPI number 1144831017 Active

Practice location

206 E Blue Starr Dr
Claremore, OK 74017-4223

Fax (918) 341-8139

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF07201695 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1144831017

Ashley Dawn Sourjohn's National Provider Identifier is 1144831017, issued on Aug 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Claremore, OK. The record was last updated on Aug 13, 2020.