OrganizationActive
J K at Home
NPI 1811607690 · Geriatric Medicine (Family Medicine) Physician · Oklahoma City, OK
Provider details
- NPI number
- 1811607690
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jillian Herndon, Owner(405) 808-3714
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2237 W Memorial Rd Ste 112
Oklahoma City, OK 73134-8064
Phone: (405) 808-3714
Approximate (ZIP-level) locationGet directions
Mailing address
2237 W Memorial Rd Ste 112
Oklahoma City, OK 73134-8064
Other names (DBA / former)
- Doing business as
- Happy at Home
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.