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General NPI Number Information
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NPI Number | 1972257798
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Entity Type | Individual
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Provider Name | KRYSTEN ASHLEY MESCAN APRN-FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 900 N PORTER AVE STE 209
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City | NORMAN
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State | OK
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Zip | 73071-6485
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Country | US
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Telephone | 405-217-9997
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Fax | 405-307-8520
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Provider Business Mailing Address
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Address Line | PO BOX 268953
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8953
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Country | US
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Telephone | 405-310-2715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0113151
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 206869
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License Number State | OK
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