Provider Demographics
NPI:1558746958
Name:FERRILL, ABIGAIL ELIZABETH (APRN-CNS)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:FERRILL
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:MRS
Other - First Name:ABIGAIL
Other - Middle Name:ELIZABETH
Other - Last Name:LINCICOME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4800 W QUINCY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-5925
Mailing Address - Country:US
Mailing Address - Phone:539-367-2530
Mailing Address - Fax:539-367-2373
Practice Address - Street 1:4800 W QUINCY ST STE 100
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-5925
Practice Address - Country:US
Practice Address - Phone:539-367-2530
Practice Address - Fax:539-367-2373
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0113256363L00000X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner