Healthcare Provider Details
I. General information
NPI: 1003314600
Provider Name (Legal Business Name): JAMIE LOUISE HUNT APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/29/2018
Last Update Date: 01/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 STANTON L YOUNG ANDREWS ACADEMIC TOWER, SUITE 8400
OKLAHOMA CITY OK
73104
US
IV. Provider business mailing address
6505 120TH AVE NE
NORMAN OK
73026-9714
US
V. Phone/Fax
- Phone: 405-271-6173
- Fax: 405-271-5892
- Phone: 501-627-8013
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | 107823 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: