Jackie Dalizu Mwendwa, CNP
NPI #1134896236 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1134896236
- Entity Type
- Individual
- Name
- Jackie Dalizu Mwendwa, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CNP
- Enumeration Date
- Aug 26, 2021
- Last Updated
- Aug 26, 2021
Practice Location
- Address
- 1800 W ALBANY DR APT 2026
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5853
- Phone
- (918) 378-7825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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