Individual
DUSTIN WAYNE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2029 GORDON COOPER DR, SHAWNEE, OK 74801
(405) 878-5850
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7631
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90758
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200628540B
—
OK
Enumeration date
12/10/2015
Last updated
03/24/2026
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