Jeanine Dianne Deterding, ARNP
NPI #1033117072 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1033117072
- Entity Type
- Individual
- Name
- Jeanine Dianne Deterding, ARNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- ARNP
- Enumeration Date
- Jul 13, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 306 FAIRVIEW AVE
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2001
- Phone
- (580) 762-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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