Jordan Lynel Meyers
Individual provider Active NPI General Practice Registered Nurse · Beggs, OK
NPI 1336766112 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1336766112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 110965 (OK)
- Practice address
- 3420 Northview Dr
Beggs, OK 74421-2343 - Phone
- (918) 345-0285
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110965 | OK | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 110965 | OK | Yes |
Addresses
Primary practice location
3420 Northview Dr
Beggs, OK 74421-2343
Mailing address
3420 Northview Dr
Beggs, OK 74421-2343
Phone (918) 345-0285
Other providers in Beggs, OK
- Green Country Sleep, LLC
- Brittany Hopper
- Victoria Lynn Jones
- Whindrea Bana Jones
- Kathy'S Pharmacy & Gifts
- Alfreda Marie Moore
- Christina Renee Pierce
- Mitzi Pope
- Professional Rehab & Ortho PT
- Bonnie Sue Rains
All providers in Beggs, OK · General Practice Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.