Cruz, Jeanette

Cruz, Jeanette is an sole proprietor health care provider with primary practice located at 11109 Surrey Hills Blvd , Yukon OK 73099-8155. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cruz, Jeanette can be contacted via phone (405) 373-2400.

Contact Information

Primary practice address
11109 Surrey Hills Blvd Yukon OK 73099-8155
Phone: (405) 373-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 82129 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 82129 Oklahoma

Profile Details

NPI number 1902281777
LBN Legal business name Cruz, Jeanette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2015
Last updated May 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902281777 NPPES
Oklahoma MEDICAID 439590YNM8

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