Organization · Type 2 NPI
Southeastern Pediatrics, PLLC
Family Nurse Practitioner · Durant, OK
NPI number
1477210516
Active
Practice location
1706 Delivery Ln
Durant, OK 74701-2292
Fax (580) 967-1002
Mailing address
1706 Delivery Ln Ste 200
Durant, OK 74701-2292
Other practice locations
- 1705 N Washington Ave Ste C, Durant, OK 74701-2100 · (580) 924-5439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Osu Center for Health SciencesMedical Specialty Clinic/Center Durant, OK NPI 1770658700
- Kinion Whittington, DOObstetrics & Gynecology Physician Durant, OK NPI 1164478541
- Randall Jason Davault, MDSurgery Physician Durant, OK NPI 1457491904
- Shyanne Roselynn Shipp, RN, IBCLCLactation Consultant (Registered Nurse) Durant, OK NPI 1265709794
Other family nurse practitioner providers in Durant
About NPI 1477210516
Southeastern Pediatrics, PLLC's National Provider Identifier is 1477210516, issued on Nov 23, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Durant, OK. The record was last updated on Sep 22, 2026.