Jacqueline R Froese, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123756 Issued in OK

Practice address

1145 S Utica Ave
Ste 110
Tulsa, OK 74104-4000

Phone

(918) 560-3823

Fax

(918) 560-5761

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

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

Other names 1

• Jacqueline R Wade Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1881128775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-560-3823",
            "fax_number": "918-560-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-560-3823",
            "fax_number": "918-560-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROESE",
        "first_name": "JACQUELINE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "123756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "WADE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth Ann Fritz, CNS
• Steven James Fritz, LPC, LADC
• Anne-Marie Frizzell, M.A., CCC-SLP
• Julia Froebel, M.S.
• Courtney Michelle Froehlich, APRN-CNP
• Frost Chiropractic LLC
• Cole McKay Frost, DMD
• Elizabeth Frost, MD
• Hyatt Frost, DC
• Mark Irwin Frost, MD

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, 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 Apr 18, 2017; 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.