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Brenda Jetton — NPI 1144435405, Mounds, OK | NPI Central

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Brenda Jetton

NPI 1144435405 · Specialist · Mounds, OK

Provider details

NPI number: 1144435405
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 200063440A (OK)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 20063440C (OK)
Other Service Providers
Specialist174400000XLicense 200063440A (OK)
Other Service Providers
Specialist174400000XLicense 20063440B (OK)
Other Service Providers

Practice location

18414 S Hwy 75

Mounds, OK 74047-7411

Phone: (918) 827-4022

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

18414 S Hwy 75

Mounds, OK 74047-7411

Registry dates

Enumerated: 2007-05-11
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.