JESSICA RAE PROVOST


Address: 1919 E Memorial Rd, Oklahoma City, OK 73131-1253
Phone: 4053417009

JESSICA RAE PROVOST (NPI# 1659724144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659724144
Entity Type Individual
Full Name JESSICA RAE PROVOST
Credential APRN
Practice Address 1919 E Memorial Rd
Oklahoma City
OK 73131-1253
Practice Telephone 4053417009
Practice Fax Number 4053301811
Mailing Telephone 4053417009
Mailing Fax Number 4053301811
Enumeration Date 2016-07-19
Last Update Date 2016-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
93861 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA PROVOST

NPI Name Taxonomy Address Enumeration
1508413493 Jessica Provost Dietitian, Registered 3506 W 78th St, Prairie Village, KS 66208-4032 2019-08-24
1326242652 Jessica E Provost Speech-Language Pathologist 6033 Larboard Dr., Apex, NC 27539-4115 2007-06-12

Office Location

Street Address 1919 E MEMORIAL RD
City OKLAHOMA CITY
State OK
Zip Code 73131-1253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407831803 Laboratory Corporation of America Clinical Medical Laboratory 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2005-12-08
1215452107 Richard Watkins Registered Nurse 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2017-08-11
1629429386 Jaime Dawn Martin Nurse Practitioner 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2016-06-23
1124498282 Angela C. Baustert Nurse Practitioner 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2015-10-01
1902273907 Angela Atterberry Nurse Practitioner 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2015-08-25
1811382187 Kathryn Haag Nurse Practitioner 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2015-04-02
1447663281 Erika Breedlove Family Medicine 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2014-06-10
1609292523 Megan Rachele Spradlin Registered Nurse 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2014-03-17
1740621291 Ryan Gotcher Family Medicine 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2013-07-12
1235484759 Tiffany Anne Ludwick Physician Assistant 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 2012-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821227794 Jennifer B Elise Counselor 9212 N Kelley Avenue, Oklahoma City, OK 73131 2009-07-13
1457450462 Procare Healing Centers, LLP Durable Medical Equipment & Medical Supplies 2100 E Britton Rd, Oklahoma City, OK 73131 2006-09-22
1023135506 David M. Abercrombie Emergency Medicine 1624 Grey Fox Run, Oklahoma City, OK 73131-1218 2007-03-22
1801295167 Nancy Lynn Mcelveen Counselor 1619 Grey Fox Run, Oklahoma City, OK 73131-1219 2014-08-22
1790021780 Dustin Neil Belden Behavioral Analyst 1621 Grey Fox Run, Oklahoma City, OK 73131-1219 2012-12-18
1376032722 Emily Sue Hicks Dietitian, Registered 1500 Steeple Chase St, Oklahoma City, OK 73131-1222 2018-05-01
1205485802 Kayla Matthews Nurse Practitioner 1810 E Memorial Rd, Oklahoma City, OK 73131-1237 2019-09-05
1659818847 Integrated Immunology Solutions LLC Allergy & Immunology 1810 E Memorial Rd, Oklahoma City, OK 73131-1237 2017-01-25
1063718237 Leslie Michele Jump Nurse Practitioner 1810 E Memorial Rd, Oklahoma City, OK 73131-1237 2011-02-04
1336109750 Amy L. Darter Allergy & Immunology 1810 E Memorial Rd, Oklahoma City, OK 73131-1250 2006-03-28
Find all providers in zip 73131

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483302 Terri Lynn Quintero Nurse Practitioner 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 2020-10-06
1952917239 Philomina Philipose Nurse Practitioner 8805 Nw 116th St, Oklahoma City, OK 73162-2220 2020-09-21
1376158295 Ligi Abraham Nurse Practitioner 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 2020-09-09
1487266532 Carla Jo Walker Nurse Practitioner 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 2020-08-20
1396356143 Deshell Ravette Tillman Nurse Practitioner 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 2020-08-14
1225656549 Simon Wellness LLC Nurse Practitioner 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 2020-07-13
1831717396 Caitlin Raylynn Stenberg Nurse Practitioner 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 2020-07-10
1467078113 Jaanki Bhakta Nurse Practitioner 9116 Sw 24th St, Oklahoma City, OK 73128-4903 2020-06-18
1629699244 Tanya Cates Nurse Practitioner 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 2020-05-05
1922629054 Heather Amanda Chin Hwa Rutledge Nurse Practitioner 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 2020-04-29
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Competitor

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City OKLAHOMA CITY
Zip Code 73131

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Dataset Information

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.

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