Provider Demographics
NPI:1497491740
Name:GREEVES, SHAVONNE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHAVONNE
Middle Name:
Last Name:GREEVES
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 E LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-2825
Mailing Address - Country:US
Mailing Address - Phone:405-533-8990
Mailing Address - Fax:
Practice Address - Street 1:518 E LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-2825
Practice Address - Country:US
Practice Address - Phone:405-533-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207900363LF0000X
OKR0122381163WX0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk