Individual provider · Type 1 NPI

Jon Ann Esponge, APRN, FNP-C

Nurse Practitioner · Broken Arrow, OK

NPI number 1609425008 Active

Practice location

2249 W Washington St
Broken Arrow, OK 74012-6703

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	M0081608 (OK)
Family Nurse Practitioner	363LF0000X	2019034297 (MO)
Family Nurse Practitioner	363LF0000X	53-78929-071 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609425008

Jon Ann Esponge, APRN, FNP-C's National Provider Identifier is 1609425008, issued on Sep 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Sep 22, 2026.