Individual
REBYL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1400 SE 4TH ST, MOORE, OK 73160-7329
(405) 857-2178
Mailing address
1300 ATALON DR, MOORE, OK 73160-5858
(405) 431-0183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0079244
OK
363L00000X
Nurse Practitioner
Primary
216197
OK
363LF0000X
Family Nurse Practitioner
216197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216197
OKLAHOMABON
OK
Enumeration date
07/10/2019
Last updated
10/31/2025
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