Cheatwood, Jennifer Dawn

Cheatwood, Jennifer Dawn is an individual health care provider with primary practice located at Rr 1, , Boley OK 74829. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Cheatwood, Jennifer Dawn can be contacted via phone (918) 667-3367.

Contact Information

Primary practice address
Rr 1, Boley OK 74829
Phone: (918) 667-3367
Fax: (918) 667-3387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 102935 Oklahoma

Profile Details

NPI number 1487933925
LBN Legal business name Cheatwood, Jennifer Dawn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Aug 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487933925 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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