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General NPI Number Information
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NPI Number | 1932613288
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Entity Type | Individual
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Provider Name | JESSICA LOUISE MCELHENNY NP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2017
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 101 W HEFNER RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-6631
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Country | US
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Telephone | 405-896-8058
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Fax |
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Provider Business Mailing Address
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Address Line | 12273 PARKLAND CT
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City | OOLOGAH
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State | OK
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Zip | 74053-4215
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Country | US
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Telephone | 214-208-8330
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Fax | 214-617-0344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 83037
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License Number State | OK
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