# CARPENTER CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497186357
- **Authorized official:** DR. JO ANN CARPENTER MD (OWNER)
- **Authorized official phone:** (580) 332-4418

## Contact information

- **Practice address:** 201 N MONTE VISTA ST, STE A, ADA, OK 74820-7213
- **Practice address phone:** (580) 332-4418
- **Practice address fax:** (580) 332-0324
- **Mailing address:** 201 N MONTE VISTA ST STE A, ADA, OK 74820-7220
- **Mailing address phone:** (580) 332-4418
- **Mailing address fax:** (580) 332-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11778 | OK | Yes |

## Other

- **Enumeration date:** 12/03/2013
- **Last updated:** 07/07/2014