NPI 1124262076 · live from the CMS NPI Registry
Christopher Ryan Jolley, RN
Registered Nurse, Diabetes Educator in Shawnee, OK. National Provider Identifier 1124262076, active.
NPI record
| NPI | 1124262076 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 2307 Gordon Cooper Dr, Shawnee, OK 74801 |
| Practice phone | 405-395-9303 |
| Mailing address | 25 Chickasaw Dr, Shawnee, OK 74801 |
| Enumerated | April 22, 2009 |
| Last updated | May 11, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | D6268723 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.