MEDICARE: NICOLE LYNN HUGHEY 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	363LF0000X	Family Nurse Practitioner	205321	OK

General Provider Information

NPI Number	:	1699445866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LYNN HUGHEY APRN-CNP

Provider Business Mailing Address
First Line	:	7800 NW 85TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5608 SE 67TH ST STE 106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-1719
Country	:	US
Telephone Number	:	405-757-0150
Fax Number	:	405-515-2249

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

Provider Enumeration Date	:	09/17/2021
Last Update Date	:	07/25/2025

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