Organization Name: | JEANNE M EDWARDS PC |
NPI Number: | 1730391954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DORI ERNSTSEN (MANAGER) |
Mailing Address: | 1717-b S Utica Suite 200 Tulsa |
State: | OK US |
Postal Code: | 74104 |
Phone Number: | 9187127900 |
Fax Number: | 9187129757 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |