Individual
MRS. DEANNA LYNN SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, ENP-C
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9699
(580) 531-4700
Mailing address
2410 NE FALCON LN, LAWTON, OK 73507-4067
(281) 352-6302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211027
OK
363LF0000X
Family Nurse Practitioner
APRN-2895
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211027
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
09/18/2019
Last updated
07/12/2023
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