MEDICARE: CHRISTOPHER JARED HOWARD APRN-CNP

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
1	363LA2100X	Acute Care Nurse Practitioner	R105971	OK

General Provider Information

NPI Number	:	1659884344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JARED HOWARD APRN-CNP

Provider Business Mailing Address
First Line	:	6502 S YALE AVE STE 3410
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-8329
Country	:	US
Telephone Number	:	918-499-4855
Fax Number	:	918-488-6098

Provider Business Practice Location Address
First Line	:	200 S ACADEMY RD
Second Line	:
City	:	GUTHRIE
State	:	OK
Zip	:	73044-8727
Country	:	US
Telephone Number	:	405-255-8292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	03/12/2026

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