Healthcare Provider Details

I. General information

NPI: 1417881749
Provider Name (Legal Business Name): LEIGH ANNE DOWNING AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 W 24TH ST
ADA OK
74820-8034
US

IV. Provider business mailing address

618 W 24TH ST
ADA OK
74820-8034
US

V. Phone/Fax

Practice location:
  • Phone: 405-596-3247
  • Fax: 405-596-3247
Mailing address:
  • Phone: 405-596-3247
  • Fax: 405-596-3247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number90916
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: