Individual
JOYCY PRANABDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S MONROE ST STE 15, ELK CITY, OK 73644-5762
(580) 210-9396
(580) 245-6457
Mailing address
2606 E HIGHWAY 66, ELK CITY, OK 73644-9611
(580) 210-9366
(580) 245-6457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0076371
OK
363L00000X
Nurse Practitioner
214477
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214477
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033968771
—
OK
05
—
1194429829
—
OK
Enumeration date
03/28/2023
Last updated
01/06/2026
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