JEANINE DIANNE DETERDING ARNP NPI 1033117072

NPI Information

  • NPI: 1033117072
  • Provider Name: JEANINE DIANNE DETERDING, ARNP
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 306 FAIRVIEW AVE
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 762-3342

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NPI Details

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
1163WG0000XRegistered NurseGeneral PracticeR0045604OKLAHOMAYes

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: 11/21/2025

NPI Synchronization or Removal

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