Mcnett, Lacey
Mcnett, Lacey is an individual health care provider with primary practice located at 415 Fairview Ave St 100, Ponca City OK 74601-1929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcnett, Lacey can be contacted via phone (580) 765-5569.Contact Information
Primary practice address
415 Fairview Ave St 100
Ponca City OK 74601-1929
Phone: (580) 765-5569
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R0080721 | Oklahoma |
Profile Details
NPI number | 1841671906 |
---|---|
LBN Legal business name | Mcnett, Lacey |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2015 |
Last updated | Aug 20th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841671906 | NPPES |
Oklahoma | MEDICAID | 200595970A |
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