Edminsten, Jamie Tenille

Edminsten, Jamie Tenille is an individual health care provider with primary practice located at 3650 W Rock Creek Rd , Norman OK 73072-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Edminsten, Jamie Tenille can be contacted via phone (405) 364-2666.

Contact Information

Primary practice address
3650 W Rock Creek Rd Norman OK 73072-2202
Phone: (405) 364-2666
Fax: (405) 364-9627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X APA1602 Oklahoma

Profile Details

NPI number 1003955170
LBN Legal business name Edminsten, Jamie Tenille
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Apr 2nd, 2015 - about 10 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 1003955170 NPPES
Oklahoma MEDICAID 200105600A

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