Healthcare Provider Details

I. General information

NPI: 1538972880
Provider Name (Legal Business Name): JAIME LYNN MCCALIP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAIME LYNN BARTSCHI

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 ARLINGTON ST
ADA OK
74820-3085
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 580-436-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221803
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: