Provider Demographics
NPI:1780017046
Name:NEWTON, JANICE LYNANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LYNANN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2816 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6533
Mailing Address - Country:US
Mailing Address - Phone:405-417-2235
Mailing Address - Fax:405-271-2235
Practice Address - Street 1:1200 CHILDRENS AVE
Practice Address - Street 2:BOX 29
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4637
Practice Address - Country:US
Practice Address - Phone:405-417-2235
Practice Address - Fax:405-271-2235
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK58202364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care