Individual
TRACYE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10948 NW EXPRESSWAY, YUKON, OK 73099-8785
(405) 883-1086
(405) 883-1127
Mailing address
10948 NW EXPRESSWAY, YUKON, OK 73099-8785
(405) 883-1086
(405) 883-1127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201804011NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
89619
OK
Other
Enumeration date
06/27/2015
Last updated
02/20/2026
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