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Contact Information

JERI L HARGRAVE, ARNP
117 PARK AVE
OKLAHOMA CITY, OK73102-9030
 Phone: 405-606-2260
 Fax: 405-606-2241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JERI L HARGRAVE · (Female)

NPI # 1346240199
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/22/2005
Last updated 05/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0037216
  • OK Medicaid 200028310A
Hospital affiliation(s)
  • INTEGRIS BAPTIST MEDICAL CENTER - (Acute Care)
    3300 NORTHWEST EXPRESSWAY
    OKLAHOMA CITY, OK 73112
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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