Healthcare Provider Details

I. General information

NPI: 1013093236
Provider Name (Legal Business Name): JENAR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3936 S HUDSON
TULSA OK
74135-5608
US

IV. Provider business mailing address

3936 S HUDSON
TULSA OK
74135-5608
US

V. Phone/Fax

Practice location:
  • Phone: 918-663-3400
  • Fax: 918-663-3426
Mailing address:
  • Phone: 918-663-3400
  • Fax: 918-663-3426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER L HALL
Title or Position: PRESIDENT
Credential: RMF
Phone: 918-663-3400