JEANINE DIANNE DETERDING ARNP NPI 1033117072

NPI Information

NPI: 1033117072
Provider Name: JEANINE DIANNE DETERDING, ARNP
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
306 FAIRVIEW AVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 762-3342
Get Directions

Jeanine Dianne Deterding, ARNP is a general practice registered nurse in Ponca City, OK. Jeanine Dianne Deterding, ARNP NPI is 1033117072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

306 FAIRVIEW AVE
PONCA CITY, OK
ZIP 74601-001
Phone: (580) 762-3342
Fax: (580) 762-5841

The enumeration date for this NPI number is 7/13/2005 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	163WG0000X	Registered Nurse	General Practice	R0045604	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »