NPI 1003781808 · live from the CMS NPI Registry
Jesse Michael Farmer, RN
Registered Nurse, General Practice in Boswell, OK. National Provider Identifier 1003781808, active.
NPI record
| NPI | 1003781808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1252 N 4080 Rd, Boswell, OK 74727 |
| Practice phone | 660-654-4009 |
| Enumerated | October 9, 2025 |
| Last updated | October 9, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 2014022224 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.