Provider Demographics
NPI:1952751307
Name:SANDERS, JANA DEL (APRN NP-C)
Entity Type:Individual
Prefix:MS
First Name:JANA
Middle Name:DEL
Last Name:SANDERS
Suffix:
Gender:F
Credentials:APRN NP-C
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:D
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN NP-C
Mailing Address - Street 1:614 NW 49TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-6604
Mailing Address - Country:US
Mailing Address - Phone:405-626-7571
Mailing Address - Fax:
Practice Address - Street 1:614 NW 49TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-6604
Practice Address - Country:US
Practice Address - Phone:405-626-7571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily