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Contact Information

STEPHANIE PENNIE, NP
6135 S 90TH EAST AVE
TULSA, OK74133-6365
 Phone: 539-215-5609
 Fax: 539-233-2480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE PENNIE · (Female)

NPI Number 1255976643
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/09/2019
Last updated 03/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 206285
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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