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Contact Information

DUSTIN W ALEXANDER, APRN
2029 GORDON COOPER DR
SHAWNEE, OK74801
 Phone: 405-878-5850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DUSTIN W ALEXANDER · (Male)

NPI Number 1831564269
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/10/2015
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 90758
  • OK Medicaid 200628540B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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