MEDICARE: JOBI HEATH APRN

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	363LN0005X	Critical Care Neonatal Nurse Practitioner	228135	OK

General Provider Information

NPI Number	:	1861331415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOBI HEATH APRN

Provider Business Mailing Address
First Line	:	12552 NW 141ST ST
Second Line	:
City	:	PIEDMONT
State	:	OK
Zip	:	73078-5145
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4418
Country	:	US
Telephone Number	:	405-949-3011
Fax Number	:

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

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ JOBI HEATH APRN” Practice Location

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