Provider Demographics
NPI:1134956782
Name:JONES, ANNE MARJORIE (APRN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARJORIE
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:CREDENTIALING OFC, GROUND FL
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-403-7065
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:13600 E 86TH ST N STE 100
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-8732
Practice Address - Country:US
Practice Address - Phone:182-729-3139
Practice Address - Fax:918-403-6311
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK220072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily