JEANNIE MARIE WYRICK (NPI# 1871133835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871133835 |
| Entity Type | Individual |
| Full Name | JEANNIE MARIE WYRICK |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
1805 Nw Arlington Ave Lawton OK 73507-6310 |
| Practice Telephone | 5806783856 |
| Mailing Telephone | 5806783856 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
89845 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1805 NW ARLINGTON AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| 1780234690 | Candace Michelle Flournoy | Nurse Practitioner | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2019-09-13 |
| 1073071940 | Kimberly Ann Turnipseed | Nurse Practitioner | 6104 Nw Williams Ave, Lawton, OK 73505-1320 | 2019-03-08 |
| 1962980631 | Piettra Santos Alves | Nurse Practitioner | 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 | 2018-08-03 |
| 1639670649 | Isabelle Zlatnik | Nurse Practitioner | 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 | 2018-02-25 |
| 1932627387 | Tonya Bardsher | Nurse Practitioner | 916 Sw 38th St Ste D, Lawton, OK 73505-7005 | 2017-09-06 |
| 1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
| 1255708012 | Shannon Ballou | Nurse Practitioner | 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 | 2015-08-27 |
| 1437553252 | Ada Diann Johnson | Nurse Practitioner | 5050 Sw Lee Blvd, Lawton, OK 73505 | 2014-10-22 |
| 1902207798 | Marina Nicole Garrison | Nurse Practitioner | 3428 Nw Cache Rd, Lawton, OK 73505-3846 | 2014-09-11 |
| Find all providers in LAWTON | ||||
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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.