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

Individual provider Family Nurse Practitioner · NPI 1659724144

Jessica Rae Provost, APRN is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2016, 10 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Phone: (405) 341-7009
Fax: (405) 330-1811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 93861 (OK)

Record details

NPI number1659724144
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 19, 2016
Last updated in NPPESOctober 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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