Doctor Name: | AMBER JONES |
NPI Number: | 1760757140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 87835 |
Business Practice Address: | 111 W Main Street Fort Cobb, OK - 73038 |
Business Phone Number: | 4056326688 |
Business Fax Number: | 4056040708 |
Mailing Address: | 1025 Straka Ter, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731392544 |
Phone Number: | 4056326688 |
Fax Number: | 4056040708 |
NPI Enumeration Date: | 03/18/2012 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 87835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |