| Jackie Jene Odell-miller, ARNP | |
|
5604 Sw Lee Blvd Ste 357, Lawton, OK 73505-9663 | |
| (580) 699-8020 | |
| (580) 699-8060 |
| Full Name | Jackie Jene Odell-miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 5604 Sw Lee Blvd Ste 357, Lawton, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427125194 | NPI | - | NPPES |
| 200100070A | Medicaid | OK | |
| R0044689 | Other | OK | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R0044689 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Jene Odell-miller, ARNP 5604 Sw Lee Blvd Ste 357, Lawton, OK 73505-9663 Ph: (580) 699-8020 | Jackie Jene Odell-miller, ARNP 5604 Sw Lee Blvd Ste 357, Lawton, OK 73505-9663 Ph: (580) 699-8020 |
Jenny Rae Mohon, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 Phone: 580-353-0350 | |
Sharon Nichelle Brown, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5508 Sw Tyler Ave, Lawton, OK 73505 Phone: 580-291-6280 | |
Katherine Nguyen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6744 Nw Cache Rd, Lawton, OK 73505 Phone: 580-536-9355 | |
Dana Kaye Hulbert, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3811 W Gore Blvd, Ste 6, Lawton, OK 73505 Phone: 580-355-5242 Fax: 580-355-5245 | |
Dr. Jennifer L. Donnelly, DFNP, APRN, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 Sw 38th St, Lawton, OK 73505 Phone: 580-248-5780 | |
Mrs. Ellagene Elizabeth Cruz, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Sw 82nd St, Lawton, OK 73505 Phone: 580-536-0077 | |
Theleka Williams, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6744 Nw Cache Rd, Lawton, OK 73505 Phone: 580-536-9355 Fax: 580-536-3537 |