Provider Demographics
NPI:1043883036
Name:HUNTER, MARISSA LENEE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:LENEE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:LENEE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9201 S PENNSYLVANIA AVE UNIT 892837
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73189-4764
Mailing Address - Country:US
Mailing Address - Phone:405-550-1373
Mailing Address - Fax:
Practice Address - Street 1:18503 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-9149
Practice Address - Country:US
Practice Address - Phone:405-531-4271
Practice Address - Fax:405-531-4272
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK201910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily