Jackie Jene Odell-Miller in Norman - Nurse Practitioner
Jackie Jene Odell-Miller - NPI 1427125194
Jackie Jene Odell-Miller is a Nurse Practitioner in Norman, Oklahoma. Jackie Jene Odell-Miller practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jackie Jene Odell-Miller is 1427125194. The last update date is 2013-02-04.
Jackie Jene Odell-Miller's current location address is 15951 Little Axe Dr, Norman, Oklahoma. You can contact this provider via phone number 4054470300 and fax number 4057017914. The mailing address for Jackie Jene Odell-Miller is 15951 Little Axe Dr, Norman, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Jene Odell-Miller |
|---|---|
| Address | 15951 Little Axe Dr, Norman, Oklahoma |
| Phone Number | 4054470300 |
| Fax Number | 4057017914 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1427125194 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2013-02-04 |
Provider Mailing Address Detail
| Address | 15951 Little Axe Dr |
|---|---|
| City | Norman |
| State | Oklahoma (OK) |
| Post Code | 730269088 |
| Phone Number | 4054470300 |
| Fax Number | 4057017914 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R0044689 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200100070A | OK | -- | |
| R0044689 | OK | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jackie Jene Odell-Miller by the Centers for Medicare & Medicaid Services?
The Jackie Jene Odell-Miller has been assigned the NPI (National Provider Identifier) 1427125194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackie Jene Odell-Miller?
The Jackie Jene Odell-Miller is situated at 15951 Little Axe Dr, in the city of Norman, state of OK, with the zip code 730269088.
What is Jackie Jene Odell-Miller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jackie Jene Odell-Miller is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427125194 to Jackie Jene Odell-Miller?
The Jackie Jene Odell-Miller received its 1427125194 assignment from the Centers for Medicare & Medicaid Services on 2006-11-29.
When was the information pertaining to Jackie Jene Odell-Miller most recently updated or revised?
The details related to Jackie Jene Odell-Miller, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-04.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC