Jennifer Patrick, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0062256 Issued in OK

Practice address

202639 E County Road 42
Woodward, OK 73801-5442

Phone

(580) 254-5322

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By the provider in NPPES

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 names 1

• Jennifer Cockreham Patrick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1063899094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 REDBUD ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013853",
            "telephone_number": "580-216-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202639 E COUNTY ROAD 42",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738015442",
            "telephone_number": "580-254-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JENNIFER",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0062256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PATRICK",
            "middle_name": "COCKREHAM",
            "credential": "R.N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Owens, LPC
• Sandra Janel Padilla, RN
• Corley Mark Palmer, M.D.
• Alexandra Paprocki, M.D.
• Jerri Ann Parsons, L.P.C., L.B.P.
• Samantha Patten, CSFA
• David Paul Peck, O.D.
• Mario A Perez
• Clifford Alden Perkins
• Haley C Persons

• Registered Nurse in Woodward, OK
• Providers in Woodward, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.