person
Jeanine Dianne Deterding, ARNP
General Practice Registered Nurse in Ponca City, Oklahoma
NPI 1033117072

Jeanine Dianne Deterding is a General Practice Registered Nurse based in Ponca City, OK and is specialized in General Practice. Jeanine Dianne Deterding practices in Ponca City, OK and has the professional credentials of ARNP. The NPI Number for Jeanine Dianne Deterding is 1033117072 and holds a License No. R0045604 (Oklahoma).

The current practice location address for Jeanine Dianne Deterding is 306 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-762-3342 and via fax at 580-762-5841. You can also correspond with Jeanine Dianne Deterding through the mailing address at 306 FAIRVIEW AVE, PONCA CITY, OK - 74601-2001 (mailing address contact number: 580-762-3342).

Location: 306 Fairview Ave, Ponca City, OK, 74601-2001
person
Provider Profile Details
NPI Number
1033117072
Provider Name
Jeanine Dianne Deterding
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
306 Fairview Ave, Ponca City, OK, 74601-2001
Phone Number
580-762-3342
Fax Number
580-762-5841
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
306 Fairview Ave
City
State
Zip
74601-2001
Phone Number
580-762-3342
Fax Number
580-762-5841
person
Provider Business Mailing Address Details
Address
306 Fairview Ave
City
State
Zip
74601-2001
Phone Number
580-762-3342
Fax Number
580-762-5841
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
R0045604 (Oklahoma)
Definition
Definition to come...
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