Individual
JAYNE DEANNE FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP-FAMILY
Contact information
Practice address
5600 N MAY AVE STE 310, OKLAHOMA CITY, OK 73112-4291
(888) 731-8994
Mailing address
5600 N MAY AVE STE 310, OKLAHOMA CITY, OK 73112-4291
(888) 731-8994
(833) 755-1861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200622320A
—
OK
Enumeration date
09/21/2015
Last updated
01/26/2026
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