NPI 1194033795

Jazman L Fagan

Practitioner Nurse's Aide Ardmore, OK

Practice location

Address: 2530 S Commerce St, Ardmore, OK 73401-5519
Phone: (580) 223-5636
Fax: (580) 226-6727

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 37V802700109 (OK)

Other Nurse's Aide providers in Oklahoma →

Registry record

NPI: 1194033795
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2010
Record last updated: 16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.