Individual provider · Type 1 NPI

Marissa Buckner, FNP-C

Family Nurse Practitioner · Moore, OK

NPI number 1487044541 Active

Practice location

2900 S Telephone Rd, Suite 250
Moore, OK 73160-2968

Mailing address

10528 Applegrove Cir
Midwest City, OK 73130-7060

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X99136 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1487044541

Marissa Buckner, FNP-C's National Provider Identifier is 1487044541, issued on Jan 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moore, OK. The record was last updated on Apr 20, 2017.