Provider Demographics
NPI:1891578803
Name:AHPEATONE, JAIME LAUREN
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LAUREN
Last Name:AHPEATONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2993 120TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-8558
Mailing Address - Country:US
Mailing Address - Phone:405-625-3003
Mailing Address - Fax:
Practice Address - Street 1:2993 120TH AVE SE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73026-8558
Practice Address - Country:US
Practice Address - Phone:405-625-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program