Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Billy Jack Premo, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003839911

Billy Jack Premo, CRNA is a Certified Registered Nurse Anesthetist in Midwest City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone: (405) 360-7576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R0025846 (OK)

Record details

NPI number1003839911
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESMarch 12, 2015
Mailing addressPo Box 10979, Midwest City, OK 73140-1979

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