Provider Demographics
NPI:1265071922
Name:COOKSEY, KRISTI MICHELLE
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:MICHELLE
Last Name:COOKSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:MICHELLE
Other - Last Name:COOKSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KRISTI COOKSEY, ARNP
Mailing Address - Street 1:4713 MARSTON CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3116
Mailing Address - Country:US
Mailing Address - Phone:405-831-9787
Mailing Address - Fax:
Practice Address - Street 1:4713 MARSTON CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3116
Practice Address - Country:US
Practice Address - Phone:405-831-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-29
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2019051123363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner