Provider Demographics
NPI:1942857735
Name:ORANIKA, JESSICA NDIDIAMAKA (MSN-FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:NDIDIAMAKA
Last Name:ORANIKA
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S BYRD ST
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-3265
Mailing Address - Country:US
Mailing Address - Phone:580-371-2327
Mailing Address - Fax:580-371-2127
Practice Address - Street 1:1000 S BYRD ST
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-3265
Practice Address - Country:US
Practice Address - Phone:580-371-2327
Practice Address - Fax:580-371-2127
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK214199363L00000X
IL209.019917363LC0200X
TX1040542363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine