Healthcare Provider Details

I. General information

NPI: 1992587430
Provider Name (Legal Business Name): DANIELLE KERNS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W CENTRAL AVE
MIAMI OK
74354-6815
US

IV. Provider business mailing address

3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY OK
73134-2640
US

V. Phone/Fax

Practice location:
  • Phone: 918-542-3900
  • Fax: 918-542-3928
Mailing address:
  • Phone: 918-542-3900
  • Fax: 918-542-3928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221461
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: