KATHERINE ELIZABETH JAYNES APRN NPI 1659978179

NPI Information

NPI: 1659978179
Provider Name: KATHERINE ELIZABETH JAYNES, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PCC COMMUNITY WELLNESS CENTER

PECOS Registration: Yes

Address:
2950 S ELM PL STE 120
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 451-5191
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Katherine Elizabeth Jaynes, APRN is a family nurse practitioner in Broken Arrow, OK with 4 years of experience. Katherine Elizabeth Jaynes, APRN NPI is 1659978179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

2950 S ELM PL STE 120
BROKEN ARROW, OK
ZIP 74012-816
Phone: (918) 451-5191
Fax: (918) 451-5272

The NPI 1659978179 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 10/7/2020 and was last updated on 3/4/2022.

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	202694	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: 11/14/2023

NPI Synchronization or Removal

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