Healthcare Provider Details

I. General information

NPI: 1013899210
Provider Name (Legal Business Name): MICAH DAWN MAJORS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICAH DAWN GOAD

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S RANCHWOOD BLVD STE 203
YUKON OK
73099-2758
US

IV. Provider business mailing address

1501 S RANCHWOOD BLVD STE 203
YUKON OK
73099-2758
US

V. Phone/Fax

Practice location:
  • Phone: 405-914-6634
  • Fax: 405-914-6693
Mailing address:
  • Phone: 405-914-6634
  • Fax: 405-914-6693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number231762
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: