Provider Demographics
NPI:1598259970
Name:NORTHINGTON, JOLINA N (NP)
Entity type:Individual
Prefix:MS
First Name:JOLINA
Middle Name:N
Last Name:NORTHINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOLINA
Other - Middle Name:N
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1807 KINGS XING
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-4314
Mailing Address - Country:US
Mailing Address - Phone:405-821-7222
Mailing Address - Fax:
Practice Address - Street 1:2133 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3923
Practice Address - Country:US
Practice Address - Phone:405-888-5616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily