Individual
BRANDY JO VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6705
(580) 379-6709
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206477
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201045540A
—
OK
Enumeration date
01/13/2022
Last updated
11/26/2025
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