Organization
JAYNE ROZELL APRN-CNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE ANN ROZELL (APRN-CNP,OWNER)
(580) 821-4071
Entity
Organization
Contact information
Practice address
1710 W 3RD ST, SUITE 101, ELK CITY, OK 73644-5159
(580) 225-8600
Mailing address
20272 E 1280 RD, CARTER, OK 73627-2725
(580) 393-2386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88982
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501190A
—
OK
Enumeration date
07/09/2013
Last updated
01/07/2014
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