MEDICARE: KRISTEN A GINN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R0089116	OK

General Provider Information

NPI Number	:	1770873069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN A GINN APRN

Provider Business Mailing Address
First Line	:	3001 QUAIL SPRINGS PKWY FL 5
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2640
Country	:	US
Telephone Number	:	405-945-4359
Fax Number	:	405-949-6826

Provider Business Practice Location Address
First Line	:	3366 NW EXPRESSWAY STE 720
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4416
Country	:	US
Telephone Number	:	405-945-4359
Fax Number	:	405-949-6826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2011
Last Update Date	:	08/29/2025

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Directions to “ KRISTEN A GINN APRN” Practice Location

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