Provider Demographics
NPI:1427229400
Name:CONLEY, SABRINA DAWN (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:DAWN
Last Name:CONLEY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15009 E 89TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-8465
Mailing Address - Country:US
Mailing Address - Phone:405-266-9865
Mailing Address - Fax:
Practice Address - Street 1:6400 S YALE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-270-4100
Practice Address - Fax:405-378-2776
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK80096363LP0808X
OKR0080096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK80096OtherOKLAHOMA STATE LICENSURE