MS. JAN ELLEN WELLS ARNP NPI 1942286133

NPI Information

NPI: 1942286133
Provider Name: MS. JAN ELLEN WELLS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
109 N FAIRLAND ST
SUITE 104
PRYOR, OK
ZIP 74361
Phone: (918) 824-4424
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MS. Jan Ellen Wells, ARNP is a family nurse practitioner in Pryor, OK. MS. Jan Ellen Wells, ARNP NPI is 1942286133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

109 N FAIRLAND ST
SUITE 104
PRYOR, OK
ZIP 74361-203
Phone: (918) 824-4424
Fax: (918) 824-4474

The NPI 1942286133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 5/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R0027163	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100094230	MEDICAID	OKLAHOMA
2	S60387	MEDICARE UPIN	OKLAHOMA
3	241428010	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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