Jearlyn Kay Nick, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ROO46187 Issued in OK

Practice address

1151 S Belmont Ave
Suite 101
Okmulgee, OK 74447-6307

Phone

(918) 759-2200

Fax

(918) 759-2206

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Okmulgee Memorial Hospital, Inc

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1083616221
  NPD (past)
• Omh Home Health

  • Home Health Agency
  • Okmulgee, OK
  • NPI 1831191543
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1033222401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SLEEPY HOLLOW RD",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744477112",
            "telephone_number": "918-759-2200",
            "fax_number": "918-759-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 S BELMONT AVE",
            "address_2": "SUITE 101",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476307",
            "telephone_number": "918-759-2200",
            "fax_number": "918-759-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICK",
        "first_name": "JEARLYN",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "ROO46187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1033222401",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Henry Myers II
• Tiffany Myers, APRN, FNP-C
• Tina Nail, RPTA
• Kimmi M Natt, P.T.
• Ashley Nichols
• Jerry Bob Nick, D.D.S
• Kaleb Niles
• Michael O'Brien, DMD
• Penny Ogbonna
• Okemah Pharmacy Management LLC

• Family Nurse Practitioner in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.