Jenny Rae Mohon
Nurse Practitioner - Adult Health
1515 North East Lawrie Tatum Road Usphs Lawton Indian Hospital
Lawton
, Oklahoma 73507
Jenny Rae Mohon
Nurse Practitioner - Adult Health
1515 North East Lawrie Tatum Road Usphs Lawton Indian Hospital
Lawton
, Oklahoma 73507
(580) 353-0350
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Jenny Rae Mohon
- 1515n Lawrie Tatum Road Usphs Lawton Indian Hospital
- Lawton, OK
- Zip : 73507
- Phone : (580) 353-0350
Second Address
- Jenny Rae Mohon
- 1515 North East Lawrie Tatum Road Usphs Lawton Indian Hospital
- Lawton, OK
- Zip : 73507
- Phone : (580) 353-0350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 16427 | TN |
National Provider Identifier
| NPI | 1003188970 |
|---|---|
| Provider Name | Jenny Rae Mohon |
| First Address | Lawton, OK 73507 |
| Second Address | Lawton, OK 73507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2012 |
| Last Update Date | 06/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.