Individual
JENNIFER ANN HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
1200 EVERETT DR FL 7, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223210
OK
363L00000X
Nurse Practitioner
8324187-4405
UT
363LN0000X
Neonatal Nurse Practitioner
8324187-4405
UT
Other
Enumeration date
08/13/2019
Last updated
02/09/2026
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