Individual
ASHLEY BOUKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3366 NW EXPRESSWAY, BUILDING D, SUITE 400, OKLAHOMA CITY, OK 73112
(405) 702-1300
Mailing address
12132 NW 133RD TER, PIEDMONT, OK 73078-3019
(405) 388-4070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102378
OK
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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