JENNY RAE MOHON (NPI# 1003188970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003188970 |
| Entity Type | Individual |
| Full Name | JENNY RAE MOHON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1515 North East Lawrie Tatum Road Usphs Lawton Indian Hospital Lawton OK 73507 |
| Mailing Address |
1515n Lawrie Tatum Road Usphs Lawton Indian Hospital Lawton OK 73507 |
| Practice Telephone | 5803530350 |
| Mailing Telephone | 5803530350 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 134293 | TN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
16427 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 NORTH EAST LAWRIE TATUM ROAD USPHS LAWTON INDIAN HOSPITAL |
| City | LAWTON |
| State | OK |
| Zip Code | 73507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| 1326066291 | Jackie Lee Mckinnis | Dentist | 2101 Nw Ferris Ave, Lawton, OK 73507 | 2006-07-18 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871935247 | Audrey Nnenna Obinero | Nurse Practitioner | 3811 W Gore Blvd, Suite 6, Lawton, OK 73505-6310 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1174178784 | Chelsea Monique Ritzendollar | Nurse Practitioner | 3946 U.S. Highway 270, Fort Supply, OK 73841-9718 | 2019-08-09 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1528526084 | Cheryl Renee Partridge | Nurse Practitioner | 16161 Moffat Rd., Lexington, OK 73051 | 2019-03-04 |
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1114494077 | Crystal Jean Oneal | Nurse Practitioner | 10337 Paisley Rd, Yukon, OK 73099-7859 | 2018-10-30 |
| 1073099503 | Tracy Elaine Lane | Nurse Practitioner | 20169 E 960 Rd, Hammon, OK 73650-5032 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.