Individual
AMANDA GAIL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
4120 W MEMORIAL RD STE 300, OKLAHOMA CITY, OK 73120-9322
(405) 302-2661
(405) 302-2670
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(405) 290-8652
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
214262
OK
364SA2200X
Adult Health Clinical Nurse Specialist
214262
OK
Other
Enumeration date
07/13/2023
Last updated
04/07/2026
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