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NPI Code Detail

MEDICARE: MS. COURTNEY L HERRON

MEDICARE: MS. COURTNEY L HERRON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseL0067672OK

General Provider Information

NPI Number : 1356294060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. COURTNEY L HERRON
Provider Business Mailing Address
First Line : 3816 SE 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-2020
Country : US
Telephone Number : 405-671-8640
Fax Number : 405-582-7029
Provider Business Practice Location Address
First Line : 7217 SE 15TH ST
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-5235
Country : US
Telephone Number : 405-671-8640
Fax Number : 405-582-7029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 03/11/2026

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Directions to “ MS. COURTNEY L HERRON ” Practice Location

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