Provider Demographics
NPI:1346655180
Name:BYRD, JALYN DENISE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:JALYN
Middle Name:DENISE
Last Name:BYRD
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 N DONALD AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-1418
Mailing Address - Country:US
Mailing Address - Phone:405-250-0017
Mailing Address - Fax:
Practice Address - Street 1:5622 N PORTLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2000
Practice Address - Country:US
Practice Address - Phone:405-917-7590
Practice Address - Fax:405-917-7595
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK92389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily