person
Jayne Deanne Fortenberry, CNP-FAMILY
Family Nurse Practitioner in Stroud, Oklahoma
NPI 1679942585

Jayne Deanne Fortenberry is a Family Nurse Practitioner based in Stroud, OK and is specialized in Family. Jayne Deanne Fortenberry practices in Stroud, OK and has the professional credentials of CNP-FAMILY. The NPI Number for Jayne Deanne Fortenberry is 1679942585 and holds a License No. 71829 (Oklahoma).

The current practice location address for Jayne Deanne Fortenberry is 356110 E 930 Rd, Stroud, OK and can be reached out via phone at 918-968-9531 and via fax at 918-968-0113.

Location: 356110 E 930 Rd, Stroud, OK, 74079-5184
person
Provider Profile Details
NPI Number
1679942585
Provider Name
Jayne Deanne Fortenberry
Credential
CNP-FAMILY
Provider Entity Type
Individual
Gender
Female
Address
356110 E 930 Rd, Stroud, OK, 74079-5184
Phone Number
918-968-9531
Fax Number
918-968-0113
Provider Enumeration Date
09/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200622320A 05 OK
institution
Provider Business Practice Location Address Details
Address
356110 E 930 Rd
City
State
Zip
74079-5184
Phone Number
918-968-9531
Fax Number
918-968-0113
person
Provider Business Mailing Address Details
Address
356110 E 930 Rd
City
State
Zip
74079-5184
Phone Number
918-968-9531
Fax Number
918-968-0113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71829 (Oklahoma)
Definition
Definition to come...
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