Organization
JODY ARDREY APRN-CNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY WAYNE ARDREY APRN-CNP (NURSE PRACTITIONER)
(580) 279-6413
Entity
Organization
Contact information
Practice address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 279-6413
(580) 279-6723
Mailing address
807 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 279-6413
(580) 279-6723
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
OK
363LF0000X
Family Nurse Practitioner
Primary
—
OK
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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