Organization Active NPI

Jnkynp, LLC.

  • Primary Care Clinic/Center
  • Edmond, OK
National Provider Identifier
1619622230
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JNKYNP, LLC.
Practice address
4905 NW 155TH St
Edmond, OK 73013-9666
Phone
(405) 401-2411
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Mrs. Jennifer Yeaman, MSN, APRN, AGNP-CNPI 1770123655
Title
Nurse Practitioner
Phone
(405) 562-3701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4905 NW 155TH St
Edmond, OK 73013-9666

Mailing address

12220 N. Macarthur Blvd.
Ste. F #160
Oklahoma City, OK 73162
Phone (405) 562-3701

Other names 1

  • visiting NP Doing business as

National Provider Directory

National Provider Directory

Locations

12220 N MacArthur Blvd
Ste F
Oklahoma City, OK 73162
Phone (580) 326-8520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1619622230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 N. MACARTHUR BLVD.",
            "address_2": "STE. F #160",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73162",
            "telephone_number": "405-562-3701",
            "fax_number": "405-562-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 NW 155TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139666",
            "telephone_number": "405-401-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNKYNP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "YEAMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "405-562-3701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, AGNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "visiting NP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.