Jefferson, Nancy A.

Jefferson, Nancy A. is an individual health care provider with primary practice located at 1717A S Utica Ave , Tulsa OK 74104-5344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jefferson, Nancy A. can be contacted via phone (918) 748-1300.

Contact Information

Primary practice address
1717A S Utica Ave Tulsa OK 74104-5344
Phone: (918) 748-1300
Fax: (918) 748-1303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0059141 Oklahoma

Profile Details

NPI number 1619965662
LBN Legal business name Jefferson, Nancy A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 12th, 2009 - about 15 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 1619965662 NPPES
Oklahoma MEDICAID 200039750A

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