=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952275083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA JEAN GARCIA APRN-CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2025
-----------------------------------------------------
Last Update Date | 01/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5224 E I 240 SERVICE RD STE 100
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73135-2607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-608-3800
-----------------------------------------------------
Fax | 580-608-3838
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5200 E I 240 SERVICE RD
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73135-2610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-610-6665
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | 2000659965
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------