Provider Demographics
NPI:1295036838
Name:WOODALL, GINGER LYNN (ARNP-CNP)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:LYNN
Last Name:WOODALL
Suffix:
Gender:F
Credentials:ARNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FRISCO
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-3306
Mailing Address - Country:US
Mailing Address - Phone:580-323-2700
Mailing Address - Fax:580-323-2276
Practice Address - Street 1:800 FRISCO AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3306
Practice Address - Country:US
Practice Address - Phone:580-323-2700
Practice Address - Fax:580-323-2276
Is Sole Proprietor?:No
Enumeration Date:2010-11-13
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK75226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily