Provider Demographics
NPI:1598543399
Name:FARRIS, KARI DANAE (DNP)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:DANAE
Last Name:FARRIS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:DANAE
Other - Last Name:HAMILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2120 E 128TH PL S
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-4466
Mailing Address - Country:US
Mailing Address - Phone:918-373-2963
Mailing Address - Fax:
Practice Address - Street 1:1004 E BRYAN AVE
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4513
Practice Address - Country:US
Practice Address - Phone:918-331-1867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily