Jennifer Nicole Skieens

NPI #1720334782 in Idabel, Oklahoma

Provider Information

NPI Number: 1720334782
Entity Type: Individual
Name: Jennifer Nicole Skieens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2012
Last Updated: Jul 27, 2012

Practice Location

Address: 17 S CENTRAL AVE
City: Idabel
State: Oklahoma
ZIP Code: 74745-4625
Phone: (580) 286-5184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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