Individual
MR. JENAE C BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
3 PECAN RDG, SHAWNEE, OK 74804-9520
(405) 273-4970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0064378
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700540A
—
OK
05
—
1764378
—
OK
Enumeration date
06/25/2006
Last updated
06/17/2013
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