MISS BRENDA DARLENE JETTON (NPI# 1144435405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144435405 |
| Entity Type | Individual |
| Full Name | MISS BRENDA DARLENE JETTON |
| Practice Address |
18414 S Hwy 75 Mounds OK 74047-7411 |
| Practice Telephone | 9188274022 |
| Mailing Telephone | 9188274022 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 20063440C | OK | Other Service Providers |
| N | 174400000X | Specialist | 20063440B | OK | Other Service Providers |
| N | 174400000X | Specialist | 200063440A | OK | Other Service Providers |
| Street Address |
18414 S HWY 75 |
| City | MOUNDS |
| State | OK |
| Zip Code | 74047-7411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558576801 | Ginny Lanell Williams | Specialist | 18414 S Hwy 75, Mounds, OK 74047-4711 | 2007-05-11 |
| 1851506117 | Darlene Janice Kennedy | Specialist | 18414 S Hwy 75, Mounds, OK 74047-4711 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467856153 | David Deere | Public Health or Welfare | 17713 S Sante Fe Pl, Mounds, OK 74047 | 2014-10-09 |
| 1427391143 | Samantha Jo Jerrell | Counselor | 7831 W 182nd St South, Mounds, OK 74047 | 2013-04-01 |
| 1326337999 | Nick Vernier | Marriage & Family Therapist | 1375 Shortcut Rd, Mounds, OK 74047 | 2011-04-04 |
| 1780866079 | Rapha Medical, LLC | Durable Medical Equipment & Medical Supplies | 1308 Commercial Avenue, Mounds, OK 74047 | 2007-11-29 |
| 1376929422 | Anna Vu | Pharmacist | 1419 Commercial Ave, Mounds, OK 74047 | 2015-07-30 |
| 1871771436 | Kristi Sue Presley | Pharmacy | 1419 Commercial Ave, Mounds, OK 74047 | 2008-02-06 |
| 1336369404 | Jireh Medical, LLC | Durable Medical Equipment & Medical Supplies | 1312 Commercial Ave, Mounds, OK 74047-0000 | 2007-04-30 |
| 1831125764 | Kristi S Piowaty | Pharmacist | 1419 Commercial Ave, Mounds, OK 74047-0032 | 2006-06-23 |
| 1235608696 | Brine and Beam Inc | Pharmacy | 1419 Commercial Ave, Mounds, OK 74047-0580 | 2018-11-15 |
| 1205139052 | Deandra L Mcdonald | Occupational Therapy Assistant | 622 Mcnabb, Mounds, OK 74047-0698 | 2010-12-17 |
| Find all providers in zip 74047 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558576801 | Ginny Lanell Williams | Specialist | 18414 S Hwy 75, Mounds, OK 74047-4711 | 2007-05-11 |
| 1851506117 | Darlene Janice Kennedy | Specialist | 18414 S Hwy 75, Mounds, OK 74047-4711 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1073131496 | Ginger Dawn Weber | Specialist | 1431 Hite Blvd, Enid, OK 73703-7938 | 2020-07-13 |
| 1558993568 | Ihelpc LLC | Specialist | 913 N Roosevelt Ave, Sand Springs, OK 74063-7329 | 2020-02-07 |
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.