=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801889597
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANELLE R HARDING APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/26/2005
-----------------------------------------------------
Last Update Date | 09/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2518 N MAIN ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74354-1602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-540-9077
-----------------------------------------------------
Fax | 918-540-9080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 95469
-----------------------------------------------------
City | GRAPEVINE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76099-9700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-724-0574
-----------------------------------------------------
Fax | 405-849-4105
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 44663
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 214200
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------