LUCILLE JEANNETTE HARJO (NPI# 1386677995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386677995 |
| Entity Type | Individual |
| Full Name | LUCILLE JEANNETTE HARJO |
| Other Name | JEANNETTE HARJO |
| Credential | P.A. - C |
| Practice Address |
1125 E Cleveland Ave Sapulpa OK 74066-4641 |
| Mailing Address |
Po Box 400 Okmulgee OK 74447-0400 |
| Practice Telephone | 9182249310 |
| Practice Fax Number | 9187563993 |
| Mailing Telephone | 9187563334 |
| Mailing Fax Number | 9187563993 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 535 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1691535 | 05 |
| Street Address |
1125 E CLEVELAND AVE |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136469 | Tracy Lynn Duckworth | Nurse Practitioner | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2018-12-17 |
| 1457839870 | Victoria L Lowry | Registered Nurse | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2018-07-30 |
| 1033606330 | Breanna R Dale | Dietitian, Registered | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2018-04-23 |
| 1720515562 | Muscogee Creek Nation | Dietitian, Registered | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2017-05-11 |
| 1558745257 | Haley Barrett | Pharmacist | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2015-07-13 |
| 1043625072 | Brett E Stallings | Dentist | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2014-06-28 |
| 1073886867 | Barbara G Clyma | Behavioral Analyst | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2012-02-09 |
| 1356674782 | Kathryn S Zackery | Family Medicine | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2009-09-17 |
| 1528202991 | Sha-rhonda Michelle Morton | Family Medicine | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2009-04-28 |
| 1881838688 | Sarah Elizabeth Yandell | Pharmacist | 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 | 2009-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789718 | Kelsey Joy Glazier | Physician Assistant | 949 E Taft Ave, Sapulpa, OK 74066-5728 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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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.