Organization
PSYCHIATRY & MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GAYLE JAMES APRN (NURSE PRACTITIONER-OWNER)
(405) 768-4904
Entity
Organization
Contact information
Practice address
8801 S OLIE AVE STE 4, OKLAHOMA CITY, OK 73139-9362
(405) 768-4904
Mailing address
632 N BROADWAY AVE, SHAWNEE, OK 74801-6202
(405) 768-4904
(405) 768-4934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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