Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANINE DIANNE DETERDING, ARNP
ActiveJEANINE DIANNE DETERDING, ARNP is a General Practice Nurse healthcare provider located in PONCA CITY, Oklahoma. NPI 1033117072 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · PONCA CITY, OK
Registration Details
- NPI Number
- 1033117072
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2005 (21.061562107947 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R0045604 (OK)
Practice Information
- Address
-
306 FAIRVIEW AVEPONCA CITY, OK, 746012001Browse OK providers · Browse ZIP 74601
- Phone
- 5807623342
- Fax
- 5807625841
- Primary Specialty
-
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.