=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508729971
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAYLEY BROOKE INMON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3125 BROOKWOOD AVE
-----------------------------------------------------
City | DUNCAN
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73533-1362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-786-4018
-----------------------------------------------------
Fax | 580-786-4021
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2001 MEADOWVIEW DR
-----------------------------------------------------
City | DUNCAN
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73533-1379
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-786-4018
-----------------------------------------------------
Fax | 580-786-4021
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | R0122005
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------