MEDICARE: CHRISTOPHER ALAN HITCHCOCK APRN-CNP

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
1	363L00000X	Nurse Practitioner	F0117230	OK

General Provider Information

NPI Number	:	1366988768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ALAN HITCHCOCK APRN-CNP

Provider Business Mailing Address
First Line	:	PO BOX 1992
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74502-1992
Country	:	US
Telephone Number	:	918-426-2442
Fax Number	:	918-426-0888

Provider Business Practice Location Address
First Line	:	3101 ELKS ROAD
Second Line	:
City	:	MCALESTER
State	:	OK
Zip	:	74501
Country	:	US
Telephone Number	:	918-426-2442
Fax Number	:	918-426-0888

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	02/26/2026

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