Individual
TEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
5200 EAST INTERSTATE 240 SERVICE ROAD, OKLAHOMA CITY, OK 73135
(405) 628-6129
Mailing address
5200 E INTERSTATE 240 SERVICE RD, OKLAHOMA CITY, OK 73135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0108298
OK
363LF0000X
Family Nurse Practitioner
Primary
230181
OK
Other
Enumeration date
05/05/2026
Last updated
07/08/2026
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