MEDICARE: NURSE PRACTITIONER SERVICES OF OKLAHOMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1578242624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE PRACTITIONER SERVICES OF OKLAHOMA

Provider Business Mailing Address
First Line	:	17026 E 47TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-7231
Country	:	US
Telephone Number	:	918-645-6315
Fax Number	:

Provider Business Practice Location Address
First Line	:	17026 EAST 47TH STREET
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-7231
Country	:	US
Telephone Number	:	918-645-6315
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN M LAYMON
Credential	:	APRN
Telephone Number	:	918-645-6315

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	07/17/2023

Similar Medicare Providers

1528355674 — JOHN M LAYMON APRN
Practice Location Address:

17026 E 47TH ST
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74134-7231

Practice Phone: 918-645-6315
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1558214890 — JENNY ZOM SUNG
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1609874072 — ALL SAINTS HOME MEDICAL LLC
Practice Location Address:

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1023018819 — MELISSA B MYERS DO
Practice Location Address:

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1801864178 — LAURIE C CLARK DO
Practice Location Address:

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