Basic Information
Provider Information
NPI: 1649332214
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JARMAN
FirstName: YANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4430 NW 50TH ST STE S
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731122295
CountryCode: US
TelephoneNumber: 4056068400
FaxNumber: 4056010338
Practice Location
Address1: 428 S MUSTANG RD
Address2:  
City: YUKON
State: OK
PostalCode: 730996754
CountryCode: US
TelephoneNumber: 4055775477
FaxNumber: 4055775488
Other Information
ProviderEnumerationDate: 12/13/2006
LastUpdateDate: 09/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X4246OKY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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