Individual
LORI KIMBERLY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4320 AVALON CT, OKLAHOMA CITY, OK 73120-8175
(405) 328-4380
Mailing address
12101 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73162-1800
(405) 328-4380
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
123944
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
123944
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
01/18/2019
Last updated
03/17/2021
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