OrganizationActive
Ltcnp
NPI 1154030724 · Primary Care Nurse Practitioner · Crescent, OK
Provider details
- NPI number
- 1154030724
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shannon Dunn, Owner(405) 560-5561
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14355 W Crescent Dover Rd
Crescent, OK 73028
Phone: (405) 650-5561
Fax: (405) 400-2559
Approximate (ZIP-level) locationGet directions
Mailing address
14355 W Crescent Dover Rd
Crescent, OK 73028-3311
Other names (DBA / former)
- Doing business as
- Crescent Community Clinic
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.