Healthcare Provider Details

I. General information

NPI: 1366279218
Provider Name (Legal Business Name): BRITTANY NIKOL NELMS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NW 63RD ST STE 650
OKLAHOMA CITY OK
73116-7915
US

IV. Provider business mailing address

1005 N 15TH ST
FREDERICK OK
73542-2211
US

V. Phone/Fax

Practice location:
  • Phone: 405-842-4436
  • Fax: 405-842-2846
Mailing address:
  • Phone: 580-418-8207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number220283
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: