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NPI Code Detail

MEDICARE: MS. JEAN M COYER N.P.

MEDICARE: MS. JEAN M COYER N.P.
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 PractitionerR0058630OK

General Provider Information

NPI Number : 1528025020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEAN M COYER N.P.
Provider Business Mailing Address
First Line : 7801 TIMBERCREEK
Second Line :
City : CHOCTAW
State : OK
Zip : 73020-4546
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5501 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2074
Country : US
Telephone Number : 405-604-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JEAN M COYER N.P.” Practice Location

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