Christopher Ryan Jolley, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

D6268723 Issued in OK

Practice address

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007

Phone

(405) 395-9303

Fax

(405) 395-9305

NPI assigned

Apr 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1124262076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHICKASAW DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015549",
            "telephone_number": "405-395-9303",
            "fax_number": "405-395-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748019007",
            "telephone_number": "405-395-9303",
            "fax_number": "405-395-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OK",
            "license": "D6268723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Rene' Johnson, RD/LD
• Reginald Johnson, BHRS
• Stephanie Renee Johnson
• Terrell Johnson
• Joshua James Johnston
• Jonathan D Cargill, PHD, Inc
• A-Yo Jones
• Emily Katherine Jones, BHWC
• Jennifer N Jones, M.S., CCC-SLP
• Laura June Jones

• Diabetes Educator Registered Nurse in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Diabetes Educator Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.