Healthcare Provider Details

I. General information

NPI: 1568209765
Provider Name (Legal Business Name): JANIS ELAINE FLANAGAN DARLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7521 SE 15TH ST
MIDWEST CITY OK
73110-5425
US

IV. Provider business mailing address

11145 FOLKSTONE DR
YUKON OK
73099-8081
US

V. Phone/Fax

Practice location:
  • Phone: 405-453-8004
  • Fax: 405-561-4857
Mailing address:
  • Phone: 405-650-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number216532
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number216532
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: