Provider Demographics
NPI:1508310442
Name:O'CONNOR, TERRI LYNN (RN)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNN
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-949-3393
Mailing Address - Fax:405-949-6977
Practice Address - Street 1:3300 NW EXPRESSWAY
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:2016-08-09
Last Update Date:2021-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKR 0102649363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal