Healthcare Provider Details

I. General information

NPI: 1174314462
Provider Name (Legal Business Name): EMILY MARGARET GILLES APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MARGARET HAMPTON RN

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 GENERAL PERSHING BLVD
OKLAHOMA CITY OK
73107-6437
US

IV. Provider business mailing address

3000 N GRAND BLVD
OKLAHOMA CITY OK
73107-1818
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-6688
  • Fax:
Mailing address:
  • Phone: 405-632-6688
  • Fax: 844-689-9671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number204008
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: