| Doctor Name: | MRS. JAMIE JUNE SILCOCK |
| NPI Number: | 1649513680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 105126 |
| Business Practice Address: | 230 1/2 E Missouri St Walters, OK - 735721434 |
| Business Phone Number: | 5802810070 |
| Business Fax Number: | 5808753647 |
| Mailing Address: | Po Box 606, WALTERS |
| State: | OK |
| Postal Code: | 735720606 |
| Phone Number: | 5802810070 |
| Fax Number: | 5808753647 |
| NPI Enumeration Date: | 03/28/2013 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 105126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |