JEANA UNDERWOOD RN
NPI 1932578648
Registered Nurse - Administrator in Sallisaw, OK
Active since September 23, 2015
About Jeana Underwood Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANA UNDERWOOD RN (NPI 1932578648) is an individual administrator provider in Sallisaw, Oklahoma, licensed in Oklahoma (118086) and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1932578648
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameJEANA UNDERWOODCredential: RN
Location Address1511 W CHICKASAW AVESallisaw, OK 74955-7201
Mailing Address1511 W Chickasaw AveSallisaw, OK 74955-7201 · (918) 926-7640 · Fax (918) 926-7642
Phone(918) 926-7640
Fax(918) 926-7642
Sole ProprietorYes
Enumeration DateSeptember 23, 2015
✔ NPI 1932578648 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in OK · 118086
1511 W CHICKASAW AVE, Sallisaw, OK 74955
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932578648, enumerated as an "individual" on September 23, 2015.
The provider is located at 1511 W CHICKASAW AVE SALLISAW, OK 74955 and the phone number is (918) 926-7640.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
