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Contact Information

JENNIFER D CHEATWOOD, RN
RR 1,
BOLEY, OK74829
 Phone: 918-667-3367
 Fax: 918-667-3387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER D CHEATWOOD · (Female)

NPI Number 1487933925
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/16/2011
Last updated 08/16/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 102935
  • OK Medicaid 100685660A
  • OK Medicaid 100685660D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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