FULCRUM CLINIC LLC NPI 1124512322

NPI Information

  • NPI: 1124512322
  • Provider Name: FULCRUM CLINIC LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: FULCRUM HEALTH & WELLNESS
  • Address: 1601 SW 89TH ST STE D100
    OKLAHOMA CITY, OK
    ZIP 73159
  • Phone: (405) 546-7888

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NPI Details

FULCRUM CLINIC LLC is a family nurse practitioner in Oklahoma City, OK. FULCRUM CLINIC LLC NPI is 1124512322. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fulcrum Health & Wellness.

The provider's business location address is:

1601 SW 89TH ST STE D100
OKLAHOMA CITY, OK
ZIP 73159-378
Phone: (405) 546-7888
Fax: (844) 518-2784

The provider's authorized official is Sonya Diane Fergeson .
The authorized official title is Office Manager And Co-owner and has the following contact phone number (405) 546-7888.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 12/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily72566OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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