Organization
SERENITY HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN FORD (OWNER)
(985) 464-9810
Entity
Organization
Contact information
Practice address
109 N 1ST ST, PONCA CITY, OK 74601-4257
(316) 600-0477
(316) 530-8027
Mailing address
824 W MADISON AVE STE 107, ARKANSAS CITY, KS 67005-3036
(985) 464-9810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
07/30/2024
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