Provider Demographics
NPI:1285032508
Name:SALUBRIOUS NURSE PRACTITIONERS, PLLC
Entity Type:Organization
Organization Name:SALUBRIOUS NURSE PRACTITIONERS, PLLC
Other - Org Name:NURSE PRACTITIONERS OF OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-CNP, FNP-C
Authorized Official - Phone:888-611-4429
Mailing Address - Street 1:601 S SERVICE RD
Mailing Address - Street 2:#6253
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-5420
Mailing Address - Country:US
Mailing Address - Phone:888-611-4429
Mailing Address - Fax:
Practice Address - Street 1:601 S SERVICE RD
Practice Address - Street 2:#6253
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5420
Practice Address - Country:US
Practice Address - Phone:888-611-4429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2023-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3812481728363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty