Healthcare Provider Details

I. General information

NPI: 1982180527
Provider Name (Legal Business Name): JENNY KRISTINE SINGH P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNY KRISTINE VALLES N.P.

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 N MAIN ST
EUFAULA OK
74432-1633
US

IV. Provider business mailing address

4196 HIGHWAY 62 412 STE A
HARDY AR
72542-8002
US

V. Phone/Fax

Practice location:
  • Phone: 918-689-7705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5438
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: