Provider Demographics
NPI:1225070485
Name:LIVINGSTON, CENE' L (DNP, APRN-BC, CNE)
Entity type:Individual
Prefix:DR
First Name:CENE'
Middle Name:L
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:DNP, APRN-BC, CNE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-7209
Mailing Address - Country:US
Mailing Address - Phone:405-476-6573
Mailing Address - Fax:
Practice Address - Street 1:11109 SURREY HILLS BLVD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8155
Practice Address - Country:US
Practice Address - Phone:405-373-2400
Practice Address - Fax:405-373-4400
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0066016363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200080000AMedicaid