Individual
MR. AUSTIN JAMES CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
4801 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 657-3000
Mailing address
10337 NW 19TH STREET, OKLAHOMA CITY, OK 73127
(580) 377-8622
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R0134442
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
223142
OK
Other
Enumeration date
10/29/2024
Last updated
05/21/2025
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