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NPI Code Detail

MEDICARE: MRS. JENNIFER L HORSLEY APRN-CNP,BC

MEDICARE: MRS. JENNIFER L HORSLEY APRN-CNP,BC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse03848090OK
2363LF0000XFamily Nurse PractitionerR0074918OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20384090OTHEROKPSYCHIATRIC & MENTAL HEALTH NURSE

General Provider Information

NPI Number : 1922101054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER L HORSLEY APRN-CNP,BC
Provider Business Mailing Address
First Line : 3701 E MAIN ST
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-3309
Country : US
Telephone Number : 580-816-4050
Fax Number : 580-772-2465
Provider Business Practice Location Address
First Line : 3701 E MAIN ST
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-3309
Country : US
Telephone Number : 580-816-4050
Fax Number : 580-772-2465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 04/16/2024

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