Provider Demographics
NPI:1578040259
Name:JANEYJANEJANEARNP-CNP LLC
Entity Type:Organization
Organization Name:JANEYJANEJANEARNP-CNP LLC
Other - Org Name:JANEY L. HAMMONS., NP-C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:580-922-4406
Mailing Address - Street 1:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:SEILING
Mailing Address - State:OK
Mailing Address - Zip Code:73663-0404
Mailing Address - Country:US
Mailing Address - Phone:580-922-4406
Mailing Address - Fax:580-922-4890
Practice Address - Street 1:204 N MAIN
Practice Address - Street 2:
Practice Address - City:SEILING
Practice Address - State:OK
Practice Address - Zip Code:73663-0404
Practice Address - Country:US
Practice Address - Phone:580-362-0943
Practice Address - Fax:303-353-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK81466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty