Healthcare Provider Details

I. General information

NPI: 1245111665
Provider Name (Legal Business Name): MELISSA DAWN ABERCROMBIE DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 WELLNESS WAY
NORMAN OK
73071-0400
US

IV. Provider business mailing address

506 WELLNESS WAY
NORMAN OK
73071-0400
US

V. Phone/Fax

Practice location:
  • Phone: 405-754-1309
  • Fax:
Mailing address:
  • Phone: 405-638-3085
  • Fax: 405-648-4318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0135152
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number225307
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: