Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Dalizu Mwendwa, CNP

Individual provider Family Nurse Practitioner · NPI 1134896236

Jackie Dalizu Mwendwa, CNP is a Family Nurse Practitioner in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1800 W Albany Dr Apt 2026
Broken Arrow, OK 74012-5853
Phone: (918) 378-7825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 205174 (OK)

Record details

NPI number1134896236
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021

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