| Jnkynp, Llc. | |
|
4905 Nw 155th St Edmond OK 73013-9666 | |
| (405) 401-2411 | |
| Not Available |
| Full Name | Jnkynp, Llc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4905 Nw 155th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Jennifer Yeaman (NURSE PRACTITIONER) |
| Authorized Official Contact | 4055623701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jnkynp, Llc. 12220 N. Macarthur Blvd. Ste. F #160 Oklahoma City OK 73162 Ph: (405) 562-3701 | Jnkynp, Llc. 4905 Nw 155th St Edmond OK 73013-9666 Ph: (405) 401-2411 |
| NPI Number | 1619622230 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619622230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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