Healthcare Provider Details

I. General information

NPI: 1790107332
Provider Name (Legal Business Name): DAYNA JOYCE REUST A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAYNA JOYCE SEBOURN R.N.

II. Dates (important events)

Enumeration Date: 01/16/2014
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EVERETT DR FL 7
OKLAHOMA CITY OK
73104-5047
US

IV. Provider business mailing address

1200 EVERETT DR FL 7
OKLAHOMA CITY OK
73104-5047
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5215
  • Fax: 405-271-1236
Mailing address:
  • Phone: 405-271-5215
  • Fax: 405-271-1236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0083951
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberR0083951
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number83951
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: