Rose, Jacklyn Dawn

Rose, Jacklyn Dawn is an individual health care provider with primary practice located at 303 E Taft Ave Ste 3 , Sapulpa OK 74066-5651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rose, Jacklyn Dawn can be contacted via phone (918) 224-2222.

Contact Information

Primary practice address
303 E Taft Ave Ste 3 Sapulpa OK 74066-5651
Phone: (918) 224-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 92995 Oklahoma

Profile Details

NPI number 1700364387
LBN Legal business name Rose, Jacklyn Dawn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2018
Last updated Aug 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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