Healthcare Provider Details

I. General information

NPI: 1700748332
Provider Name (Legal Business Name): HOPE ALZHEIMERS-OKC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 NW 56TH ST STE 100
OKLAHOMA CITY OK
73112-4530
US

IV. Provider business mailing address

3300 NW 56TH ST STE 100
OKLAHOMA CITY OK
73112-4530
US

V. Phone/Fax

Practice location:
  • Phone: 405-516-4673
  • Fax:
Mailing address:
  • Phone: 405-516-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY MICHELLE SIMMONS
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential: APRN-CNP
Phone: 405-516-4673