Healthcare Provider Details

I. General information

NPI: 1053252106
Provider Name (Legal Business Name): BRITTANY NAOMI SMITH APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19609 E 39TH ST S
BROKEN ARROW OK
74014-1384
US

IV. Provider business mailing address

19609 E 39TH ST S
BROKEN ARROW OK
74014-1384
US

V. Phone/Fax

Practice location:
  • Phone: 918-845-7651
  • Fax:
Mailing address:
  • Phone: 918-845-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number228350
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: