Provider Demographics
NPI:1629680038
Name:MCKEE, STEFANIE JANE (NP-C)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:JANE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38509 HIGHWAY 7 W
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-9619
Mailing Address - Country:US
Mailing Address - Phone:580-368-3045
Mailing Address - Fax:833-597-0266
Practice Address - Street 1:38509 HIGHWAY 7 W
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:OK
Practice Address - Zip Code:73030-9619
Practice Address - Country:US
Practice Address - Phone:580-368-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0078122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily