Organization
LTCNP
Active
Other names
Crescent Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DUNN DNP (OWNER)
(405) 560-5561
Entity
Organization
Contact information
Practice address
14355 W CRESCENT DOVER RD, CRESCENT, OK 73028
(405) 650-5561
(405) 400-2559
Mailing address
14355 W CRESCENT DOVER RD, CRESCENT, OK 73028-3311
(405) 400-2559
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
12/08/2025
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