Doctor Name: | JEANNE BISHOP |
NPI Number: | 1437542123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | HC8043 |
Business Practice Address: | 102 S.e. Main St. Keota, OK - 74941 |
Business Phone Number: | 9189663356 |
Business Fax Number: | |
Mailing Address: | Po Box 100, KEOTA |
State: | OK |
Postal Code: | 749410100 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2015 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | HC8043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |