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NPI Code Detail

MEDICARE: MARTHA JONES ARNP

MEDICARE: MARTHA JONES ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner24501OK

General Provider Information

NPI Number : 1396965091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA JONES ARNP
Provider Business Mailing Address
First Line : 6613 N MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-1423
Country : US
Telephone Number : 405-603-8450
Fax Number : 405-603-8455
Provider Business Practice Location Address
First Line : 6613 N MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-1423
Country : US
Telephone Number : 405-603-8450
Fax Number : 405-603-8455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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