Miss Jennifer Fannin, is a
Licensed Practical Nurse based in Okc, Oklahoma. Miss Jennifer Fannin is licensed to practice in Oklahoma (license number B9334731) and her current practice location is
1215 Nw 25 Th St., Okc, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 525-2525.
NPI number for Miss Jennifer Fannin is 1508187089 and her current mailing address is 1215 Nw 25th St, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508187089.
Provider's Profile
Full Name | Miss Jennifer Fannin |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1215 Nw 25 Th St., Okc, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508187089
- Provider Enumeration Date: 06/18/2010
- Last Update Date: 06/18/2010
Medical Identifiers
Medical identifiers for Miss Jennifer Fannin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508187089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | B9334731 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jennifer Fannin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jennifer Fannin, 1215 Nw 25th St, Oklahoma City, OK 73106-5629 Ph: () - | Miss Jennifer Fannin, 1215 Nw 25 Th St., Okc, OK 73106 Ph: (405) 525-2525 |
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