Joby V Chambers, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Blackwell, OK

NPI 1386778769 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386778769
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R0060329 (OK)
Practice address
605 W Padon Ave
Blackwell, OK 74631-2842
Phone
(580) 761-2992
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R0060329OKMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0060329 OK Yes

Addresses

Primary practice location

605 W Padon Ave
Blackwell, OK 74631-2842

Mailing address

605 W Padon Ave
Blackwell, OK 74631-2842
Phone (580) 761-2992

Other providers in Blackwell, OK

All providers in Blackwell, OK · Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.