Hargrave, Jeri L
Hargrave, Jeri L is an individual health care provider with primary practice located at 117 Park Ave , Oklahoma City OK 73102-9030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Hargrave, Jeri L can be contacted via phone (405) 606-2260.Contact Information
Primary practice address
117 Park Ave
Oklahoma City OK 73102-9030
Phone: (405) 606-2260
Fax: (405) 606-2241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R0037216 | Oklahoma |
Profile Details
| NPI number | 1346240199 |
|---|---|
| LBN Legal business name | Hargrave, Jeri L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | May 15th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346240199 | NPPES |
| Oklahoma | MEDICAID | 200028310A |
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