Healthcare Provider Details

I. General information

NPI: 1558006874
Provider Name (Legal Business Name): URGENT CARE OF SEMINOLE APRN-CNP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2249 BOREN BLVD
SEMINOLE OK
74868-1927
US

IV. Provider business mailing address

2249 BOREN BLVD
SEMINOLE OK
74868-1927
US

V. Phone/Fax

Practice location:
  • Phone: 405-584-8888
  • Fax: 833-641-2432
Mailing address:
  • Phone: 405-584-8888
  • Fax: 833-641-2432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JARED LEVON ROBERTSON
Title or Position: OWNER
Credential:
Phone: 405-584-8888