Individual provider · Type 1 NPI

Jazman L. Fagan

Nurse's Aide · Ardmore, OK

NPI number 1194033795 Active

Practice location

2530 S Commerce St
Ardmore, OK 73401-5519

Fax (580) 226-6727

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X37V802700109 (OK)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1194033795

Jazman L. Fagan's National Provider Identifier is 1194033795, issued on Sep 16, 2010. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Ardmore, OK. The record was last updated on Sep 16, 2010.