Jenny Rae Mohon, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

16427 Issued in TN

Practice address

1515 North East Lawrie Tatum Road
Usphs Lawton Indian Hospital
Lawton, OK 73507

Phone

(580) 353-0350

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1003188970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515N LAWRIE TATUM ROAD",
            "address_2": "USPHS LAWTON INDIAN HOSPITAL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73507",
            "telephone_number": "580-353-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NORTH EAST LAWRIE TATUM ROAD",
            "address_2": "USPHS LAWTON INDIAN HOSPITAL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73507",
            "telephone_number": "580-353-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHON",
        "first_name": "JENNY",
        "middle_name": "RAE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "16427",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "134293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melva Jo Mitchell, LPN
• Robyn Katrina Mitchell, LPC-CANDIDATE
• Brinklee Delainey Mixon, SA-C, CST
• Olivia Nicole Moats, RDN
• Aisha Mohammed, MD
• Kevin Molinar
• Kristen Renee Molloy, LPC
• Chrystal Jean Monigold, ARNP
• Monique Leong OD PLLC
• Anthony Shon Monoessy Sr.

• Adult Health Nurse Practitioner in Lawton, OK
• Providers in Lawton, OK by specialty
• Adult Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.