Healthcare Provider Details

I. General information

NPI: 1508725631
Provider Name (Legal Business Name): HAILEY DAWN HARRIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 163
STRINGTOWN OK
74569-0163
US

IV. Provider business mailing address

PO BOX 163
STRINGTOWN OK
74569-0163
US

V. Phone/Fax

Practice location:
  • Phone: 580-364-2578
  • Fax:
Mailing address:
  • Phone: 580-364-2578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number225846
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: