Jenna N King, ARNP | |
1143b N Main St, Muskogee, OK 74401-4441 | |
(189) 537-1973 | |
(918) 537-1027 |
Full Name | Jenna N King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1143b N Main St, Muskogee, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588108187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53-77499-052 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 210367 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oliver Street 5.01(a) Inc | 0042464125 | 144 |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20180626003255 |
Mailing Address | Practice Location Address |
---|---|
Jenna N King, ARNP 1143b N Main St, Muskogee, OK 74401-4441 Ph: (189) 537-1973 | Jenna N King, ARNP 1143b N Main St, Muskogee, OK 74401-4441 Ph: (189) 537-1973 |
Elizabeth Walrath, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Chandler Rd Ste 107, Muskogee, OK 74403 Phone: 918-948-6360 | |
Ifeoma Nneka Mozie, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 918-683-5677 | |
Sasha Lounmala, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr # 118, Muskogee, OK 74401 Phone: 918-348-2236 | |
Mrs. Alef Nancy Graham, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Kendra Diane Round, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S 32nd St, Muskogee, OK 74401 Phone: 539-239-5240 Fax: 539-239-5249 | |
Mrs. Lanise Jamerson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3000 | |
Richard Parks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4318 W Okmulgee St, Muskogee, OK 74401 Phone: 918-686-0471 Fax: 918-686-9471 |