Provider Demographics
NPI:1972257798
Name:MESCAN, KRYSTEN ASHLEY (APRN-FNP-BC)
Entity type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:ASHLEY
Last Name:MESCAN
Suffix:
Gender:F
Credentials:APRN-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 268953
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8953
Mailing Address - Country:US
Mailing Address - Phone:405-310-2715
Mailing Address - Fax:
Practice Address - Street 1:900 N PORTER AVE STE 209
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6485
Practice Address - Country:US
Practice Address - Phone:405-217-9997
Practice Address - Fax:405-307-8520
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OKR0113151363LF0000X
OK206869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily