Individual
JOSEPH JAMES GELINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
601 S BROADWAY ST, GROVE, OK 74344-3429
(918) 786-0800
(918) 786-0876
Mailing address
62500 E 247 LOOP, GROVE, OK 74344-7435
(918) 786-0800
(918) 786-0876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80573
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200313460A
—
OK
05
—
200505990B
—
OK
Enumeration date
11/01/2010
Last updated
04/26/2019
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