Fortenberry, Jayne Deanne

Fortenberry, Jayne Deanne is an individual health care provider with primary practice located at 5600 N May Ave Ste 310 , Oklahoma City OK 73112-4291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fortenberry, Jayne Deanne can be contacted via phone (888) 731-8994.

Contact Information

Primary practice address
5600 N May Ave Ste 310 Oklahoma City OK 73112-4291
Phone: (888) 731-8994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71829 Oklahoma

Profile Details

NPI number 1679942585
LBN Legal business name Fortenberry, Jayne Deanne
Credentials CNP-FAMILY
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Jan 26th, 2026 - about 9 months 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 1679942585 NPPES
Oklahoma MEDICAID 200622320A

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