Organization · Type 2 NPI

Fulcrum Clinic LLC

Family Nurse Practitioner · Oklahoma City, OK

NPI number 1124512322 Active

Practice location

1601 SW 89th St Ste D100
Oklahoma City, OK 73159-6378

Fax (844) 518-2784

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	72566 (OK)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Heather Foster Health Services LLCPrimary Care Clinic/Center Oklahoma City, OK NPI 1386415479
Mark Glenndon Fergeson, NP-CFamily Nurse Practitioner Oklahoma City, OK NPI 1497170526

Other family nurse practitioner providers in Oklahoma City

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NPI record

NPI: 1124512322
Entity type: Organization (Type 2)
Issued: Jun 20, 2018
Last updated: Dec 7, 2021
Status: Active

Other names

<unavail>
Fulcrum Health & Wellness · doing business as
Fulcrum Health & Wellness · doing business as

Authorized official

Sonya Diane Fergeson
Office Manager and Co-Owner
(405) 546-7888

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124512322

Fulcrum Clinic LLC's National Provider Identifier is 1124512322, issued on Jun 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 7, 2021.