Search › Oklahoma › 171M00000X
Jenae Micozzi
NPI 1215540190 · on the registry since 2020
Practice
- Address
- 14430 Ns 3500
Konawa, OK 74849 - Phone
- (580) 925-2650
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma