Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE DALIZU MWENDWA, CNP
ActiveFamily Nurse Practitioner · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1134896236
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2021 (4.6804416851719 yrs)
- Last Updated
- Aug 26, 2021
- License
-
205174 (OK)
Practice Information
- Address
-
1800 W ALBANY DR APT 2026BROKEN ARROW, OK, 740125853Browse OK providers · Browse ZIP 74012
- Phone
- 9183787825
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| DONNA PHILLIPS WILLIAMS | ARNP | 1700861176 |
| MRS. KRISTI GENE SAGER | ARNP | 1033182258 |
| MRS. SHERRI LYNN RICHARDSON | DNP, APRN-CNP | 1750530036 |
| CARMEN KAY OAKES | ARNP-C | 1003040528 |
| SHARON L SMITH | APRN | 1891068938 |
| MRS. CYNTHIA KAY WEBSTER | RN | 1285988436 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.