Healthcare Provider Details

I. General information

NPI: 1508729971
Provider Name (Legal Business Name): CAYLEY BROOKE INMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 BROOKWOOD AVE
DUNCAN OK
73533-1362
US

IV. Provider business mailing address

2001 MEADOWVIEW DR
DUNCAN OK
73533-1379
US

V. Phone/Fax

Practice location:
  • Phone: 580-786-4018
  • Fax: 580-786-4021
Mailing address:
  • Phone: 580-786-4018
  • Fax: 580-786-4021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0122005
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: