Doris Jean Petty in Ardmore - Registered Nurse
Doris Jean Petty - NPI 1083811871
Doris Jean Petty is a Registered Nurse in Ardmore, Oklahoma. Doris Jean Petty practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Doris Jean Petty is 1083811871. The last update date is 2007-07-08.
Doris Jean Petty's current location address is 2021 4th Ave Nw Trlr 77, Ardmore, Oklahoma. You can contact this provider via phone number 5802763323 and fax number 5802763324. The mailing address for Doris Jean Petty is 2021 4th Ave Nw Trlr 77, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris Jean Petty |
|---|---|
| Address | 2021 4th Ave Nw Trlr 77, Ardmore, Oklahoma |
| Phone Number | 5802763323 |
| Fax Number | 5802763324 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1083811871 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2021 4th Ave Nw Trlr 77 |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734012529 |
| Phone Number | 5802763323 |
| Fax Number | 5802763324 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | R0027558 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the Doris Jean Petty's 1083811871?
The Doris Jean Petty's NPI (National Provider Identifier) Number is 1083811871. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Doris Jean Petty is physically located?
The Doris Jean Petty is physically situated at the following address: 2021 4Th Ave Nw Trlr 77, Ardmore, OK, 734012529.
What is Doris Jean Petty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Doris Jean Petty is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.
On what date did the Doris Jean Petty receive the assignment of its 1083811871 from the Centers for Medicare & Medicaid Services?
The Doris Jean Petty was issued its 1083811871 by the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the details related to Doris Jean Petty most recently updated or revised?
The information pertaining to Doris Jean Petty, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.