Cloud, Stella Jane

Cloud, Stella Jane is an sole proprietor health care provider with primary practice located at 1401 E Van Buren Ave , Mcalester OK 74501-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cloud, Stella Jane can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 E Van Buren Ave Mcalester OK 74501-4245
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0028913 Oklahoma

Profile Details

NPI number 1750453494
LBN Legal business name Cloud, Stella Jane
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Feb 3rd, 2020 - about 4 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 1750453494 NPPES
Oklahoma MEDICAID 200103560A

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