Provider Demographics
NPI:1558006874
Name:URGENT CARE OF SEMINOLE APRN-CNP LLC
Entity Type:Organization
Organization Name:URGENT CARE OF SEMINOLE APRN-CNP LLC
Other - Org Name:SYNERGY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:580-235-6944
Mailing Address - Street 1:2249 BOREN BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-1927
Mailing Address - Country:US
Mailing Address - Phone:405-584-8888
Mailing Address - Fax:833-641-2432
Practice Address - Street 1:2249 BOREN BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-1927
Practice Address - Country:US
Practice Address - Phone:405-584-8888
Practice Address - Fax:833-641-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care