Individual provider · Type 1 NPI

Olivia Anne Derryberry, PA-C

Physician Assistant · Oklahoma City, OK

NPI number 1154124261 Active

Practice location

11101 Hefner Pointe Dr
Oklahoma City, OK 73120-0600

Call (580) 223-0447 Map

Mailing address

1716 NW 19th St
Oklahoma City, OK 73106-3802

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5602 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154124261

Olivia Anne Derryberry, PA-C's National Provider Identifier is 1154124261, issued on Apr 1, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 3, 2026.