| Stephanie Nicole Fossett, APRN | |
|
1201 E Ross Byp, Tahlequah, OK 74464-4188 | |
| (918) 207-0991 | |
| (918) 456-7570 |
| Full Name | Stephanie Nicole Fossett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1201 E Ross Byp, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568983401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 101517 (Oklahoma) | Primary |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Tahlequah Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881960771 PECOS PAC ID: 4082861349 Enrollment ID: O20120822000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Nicole Fossett, APRN 1201 E Ross Bypass, Tahlequah, OK 74464 Ph: (918) 207-0991 | Stephanie Nicole Fossett, APRN 1201 E Ross Byp, Tahlequah, OK 74464-4188 Ph: (918) 207-0991 |
Nancy Ellen Denton, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-316-6369 | |
Kimberly Ann Watson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 | |
Libby Leininger Rogers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 N. Oak St, Tahlequah, OK 74464 Phone: 918-444-2126 Fax: 918-458-2300 | |
Dena J Lamons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Tracy L Ross, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1387 W 4th St, Tahlequah, OK 74464 Phone: 918-453-5554 Fax: 918-431-4112 | |
Florame Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Boone St Ste 1201, Tahlequah, OK 74464 Phone: 918-207-1189 | |
Meghan Pennington, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-4100 |