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Contact Information

TABATHYA LANE APRN
9118 BUCKALOO BEND RD
KINGSTON, OK73439-2021
 Phone: 580-504-3090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for TABATHYA LANE APRN

NPI # 1528896396
LBN Legal business name TABATHYA LANE APRN
Authorized official TABATHYA TALIAFERRO - (SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2024
Last updated 07/31/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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