Provider Demographics
NPI:1124011242
Name:STRICKLAND, LAURA JEAN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JEAN
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JEAN
Other - Last Name:HALLACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:26300 S HIGHWAY 125
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-6282
Mailing Address - Country:US
Mailing Address - Phone:182-578-5859
Mailing Address - Fax:918-257-8560
Practice Address - Street 1:26300 S HIGHWAY 125
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331-6282
Practice Address - Country:US
Practice Address - Phone:182-578-5859
Practice Address - Fax:918-257-8560
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0072294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1772294Medicare ID - Type Unspecified