MR. JUSTIN DON COLE NPI 1790211795

NPI Information

NPI: 1790211795
Provider Name: MR. JUSTIN DON COLE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3325 S 204TH EAST AVE
BROKEN ARROW, OK
ZIP 74014
Phone: (918) 955-1907
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MR. Justin Don Cole is a family nurse practitioner in Broken Arrow, OK. MR. Justin Don Cole NPI is 1790211795. 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:

3325 S 204TH EAST AVE
BROKEN ARROW, OK
ZIP 74014-165
Phone: (918) 955-1907

The NPI 1790211795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 9/25/2017.

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	363LF0000X	Nurse Practitioner	Family	82942	OKLAHOMA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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