Shijy A Joykutty, FNP | |
12716 Ne 36th St, Spencer, OK 73084-9167 | |
(405) 769-3301 | |
(405) 769-9685 |
Full Name | Shijy A Joykutty |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12716 Ne 36th St, Spencer, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457899841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 86902 (Oklahoma) | Primary |
Entity Name | Community Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265415806 PECOS PAC ID: 4688584436 Enrollment ID: O20060914000328 |
Mailing Address | Practice Location Address |
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Shijy A Joykutty, FNP Po Box 30589, Midwest City, OK 73140-3589 Ph: (405) 769-3301 | Shijy A Joykutty, FNP 12716 Ne 36th St, Spencer, OK 73084-9167 Ph: (405) 769-3301 |
Rebecca Joy Stam, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 Fax: 405-769-9685 | |
Elizabeth Ann Stewart, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 Fax: 405-769-9685 | |
Mrs. Betsy A Mathew, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 | |
Beena Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 | |
Stacey Renee Trupiano, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 Fax: 405-769-9685 |