Healthcare Provider Details

I. General information

NPI: 1306790050
Provider Name (Legal Business Name): JENNIFER PAIGE MOLINSKY AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120-8300
US

IV. Provider business mailing address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120-8300
US

V. Phone/Fax

Practice location:
  • Phone: 405-748-4726
  • Fax: 405-607-8497
Mailing address:
  • Phone: 405-748-4726
  • Fax: 405-607-8497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number229714
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0124307
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: