Mr. Braxton Kyle Huckabee
Nurse Practitioner - Acute Care
4802 S 109th East Ave
Tulsa
, Oklahoma 74146-5822
Mr. Braxton Kyle Huckabee
Nurse Practitioner - Acute Care
4802 S 109th East Ave
Tulsa
, Oklahoma 74146-5822
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mr. Braxton Kyle Huckabee
- 701 W 101st Pl S Apt 2101
- Jenks, OK
- Zip : 74037-3582
- Phone :
Second Address
- Mr. Braxton Kyle Huckabee
- 4802 S 109th East Ave
- Tulsa, OK
- Zip : 74146-5822
- Phone : (918) 392-1400
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Is Mr. Braxton Kyle Huckabee a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 201762 | OK |
National Provider Identifier
| NPI | 1023772696 |
|---|---|
| Provider Name | Mr. Braxton Kyle Huckabee |
| First Address | Jenks, OK 74037-3582 |
| Second Address | Tulsa, OK 74146-5822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2021 |
| Last Update Date | 28/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.