MAIN STREET FAMILY CLINIC APRN-CNP PLLC is a primary care clinic center in Jenks, OK. MAIN STREET FAMILY CLINIC APRN-CNP PLLC NPI is 1811321102. The provider is registered as an organization entity type.
The provider's business location address is:
1201 W MAIN ST JENKS, OK ZIP 74037-311 Phone: (918) 518-5770 Fax: (918) 518-5773
The provider's authorized official is Debra Beistle Schroeder . The authorized official title is Family Nurse Practitioner and has the following contact phone number (918) 518-5770.
The CLIA number assigned to this NPI record is 37D2063206 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/22/2013 and was last updated on 12/11/2013.
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:
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: 3/30/2025
NPI Synchronization or Removal
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