Kimberly Michell Scaggs, AGACNP
Nurse Practitioner, Acute Care in Ada, OK. Individual provider (NPI-1).
NPI number1144077553
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1144077553
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Michell Scaggs
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 217660 | OK | Yes |
Practice location
430 N Monte Vista StAda, OK 74820-4657
Phone 580-332-2323 · Fax 580-421-1384
Mailing address
5630 Triple L RdDavis, OK 73030-9486
Phone 580-618-2413
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Acute Care Nurse Practitioner providers in Ada, OK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.