JODY ARDREY APRN-CNP LLC NPI 1174977763

NPI Information

NPI: 1174977763
Provider Name: JODY ARDREY APRN-CNP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
807 N MONTE VISTA ST
ADA, OK
ZIP 74820
Phone: (580) 279-6413
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JODY ARDREY APRN-CNP LLC is a family nurse practitioner in Ada, OK. JODY ARDREY APRN-CNP LLC NPI is 1174977763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

807 N MONTE VISTA ST
ADA, OK
ZIP 74820-711
Phone: (580) 279-6413
Fax: (580) 279-6723

The provider's authorized official is Jody Wayne Ardrey .
The authorized official title is Nurse Practitioner and has the following contact phone number (580) 279-6413.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 4/20/2016.

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	207V00000X	Obstetrics & Gynecology			OKLAHOMA	No
2	363LF0000X	Nurse Practitioner	Family		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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