Individual
KRYSTAL DAWN SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 727-7246
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 727-7246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0123042
OK
207Q00000X
Family Medicine Physician
Primary
200745
OK
363LF0000X
Family Nurse Practitioner
Primary
200745
OK
Other
Enumeration date
01/06/2021
Last updated
01/12/2026
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