Provider Demographics
NPI:1235790361
Name:GRIFFITH, JAIME LYN (APRN-CFP)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:LYN
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:APRN-CFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-5208
Mailing Address - Country:US
Mailing Address - Phone:918-223-5168
Mailing Address - Fax:
Practice Address - Street 1:600 S LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-4630
Practice Address - Country:US
Practice Address - Phone:918-725-1599
Practice Address - Fax:918-725-1598
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK87833363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily