Jessica Anne Dutton, MSN, RN, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112051 Issued in OK

Practice address

3431 S Boulevard
Edmond, OK 73013-5475

Phone

(405) 673-3773

Fax

(405) 938-1445

NPI assigned

Aug 21, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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.

• Np2Go

  • Clinic/Center
  • Edmond, OK
  • NPI 1700543402
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1154847127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ASHELYNNE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730342618",
            "telephone_number": "620-617-4640",
            "fax_number": "405-938-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-673-3773",
            "fax_number": "405-938-1445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Ashelynne Ct",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730342618",
            "country_code": "US",
            "telephone_number": "620-617-4640",
            "fax_number": "405-938-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "112051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ermilo S. Duque, B.S., D.C., F.A.S.A.
• Casandra Duran-Zavala
• Mary Frances Elizabeth Durham-Nelson, M.ED.
• Casey Marie Dutchik, APRN-CNP
• Charles T Dutton Jr., M.S., LMFT
• Kasey Shea Dutton
• Kristina Marie Duty, RD/LD
• Rick Dwiggins, NP
• Dynamic Medical Solutions
• Dynamic Speech Group LLC

• Family Nurse Practitioner in Edmond, OK
• Providers in Edmond, 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 Dec 17, 2024; 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.