MR. GERALD PATRICK JENISON CCP LP NPI 1427113950

NPI Information

NPI: 1427113950
Provider Name: MR. GERALD PATRICK JENISON, CCP LP
Classification: Technician, Other - 247200000X
Entity Type: Individual
Address:
2210 S HIGHWAY 76
NEWCASTLE, OK
ZIP 73065
Phone: (405) 392-3628
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MR. Gerald Patrick Jenison, CCP LP is a technician other in Newcastle, OK. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Gerald Patrick Jenison, CCP LP NPI is 1427113950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2210 S HIGHWAY 76
NEWCASTLE, OK
ZIP 73065
Phone: (405) 392-3628
Fax: (405) 392-2137

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other		LP 28	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5993501	OTHER		AETNA
2	445601110001	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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