Provider Demographics
NPI:1417036807
Name:BURKS, BROOKE MCCLENDON (ARNP, NNP-BC, MSN)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:MCCLENDON
Last Name:BURKS
Suffix:
Gender:F
Credentials:ARNP, NNP-BC, MSN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:900 N PORTER
Mailing Address - Street 2:SUITE 208A
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6425
Mailing Address - Country:US
Mailing Address - Phone:405-822-8898
Mailing Address - Fax:405-579-1448
Practice Address - Street 1:4300 W MEMORIAL RD
Practice Address - Street 2:5TH FLOOR NEONATAL INTENSIVE CARE UNIT
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8304
Practice Address - Country:US
Practice Address - Phone:405-822-8898
Practice Address - Fax:405-752-3975
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKR0077152363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal