Provider Demographics
NPI:1164500336
Name:HOOD, CYNTHIA JO (APRN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:JO
Last Name:HOOD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:JO
Other - Last Name:BLALOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:6304 NW 84TH PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4625
Mailing Address - Country:US
Mailing Address - Phone:405-722-1194
Mailing Address - Fax:405-271-9257
Practice Address - Street 1:3300 NW EXPRESSWAY FL 4
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-949-3393
Practice Address - Fax:405-949-6977
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0037159163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care