| Jayne Deanne Fortenberry, CNP-FAMILY | |
|
356110 E 930 Rd, Stroud, OK 74079-5184 | |
| (918) 968-9531 | |
| (918) 968-0113 |
| Full Name | Jayne Deanne Fortenberry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 356110 E 930 Rd, Stroud, 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 |
|---|---|---|---|
| 1679942585 | NPI | - | NPPES |
| 200622320A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71829 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sac And Fox Nation | 2668361379 | 10 |
| Entity Name | Sac & Fox Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871663203 PECOS PAC ID: 2668361379 Enrollment ID: O20040311000953 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayne Deanne Fortenberry, CNP-FAMILY 356110 E 930 Rd, Stroud, OK 74079-5184 Ph: (918) 968-9531 | Jayne Deanne Fortenberry, CNP-FAMILY 356110 E 930 Rd, Stroud, OK 74079-5184 Ph: (918) 968-9531 |
Joshua Watkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 Ok-66, Stroud, OK 74834 Phone: 918-968-3571 | |
Danielle B Cory, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Kristie Michelle Mcguire, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Jennifer Hinman, DNP-APRN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2308 W Highway 66 # B, Stroud, OK 74079 Phone: 918-968-1642 Fax: 918-987-1622 | |
Dr. Daniel Hall, AQPRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308 Ok-66, Stroud, OK 74079 Phone: 918-968-3579 | |
Cameron Keith Ethridge, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2308b W Highway 66, Stroud, OK 74079 Phone: 918-968-4469 Fax: 918-987-1622 |