Healthcare Provider Details

I. General information

NPI: 1093677528
Provider Name (Legal Business Name): MS. NIKKI COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 SW 23RD ST
EL RENO OK
73036-5856
US

IV. Provider business mailing address

512 SW 23RD ST
EL RENO OK
73036-5856
US

V. Phone/Fax

Practice location:
  • Phone: 405-651-8562
  • Fax: 405-776-3169
Mailing address:
  • Phone: 405-651-8562
  • Fax: 405-776-3169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: