IndividualActive
Lisa Sullivan, APRN-CNP
NPI 1063255164 · Primary Care Nurse Practitioner · Yukon, OK
Provider details
- NPI number
- 1063255164
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 220736 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone: (405) 806-2200
Fax: (405) 806-2207
Approximate (ZIP-level) locationGet directions
Mailing address
1491 Health Center Pkwy
Yukon, OK 73099-6492
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.