Provider Demographics
NPI:1639061526
Name:KLEIN, COURTNEY JUSTINE (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JUSTINE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 FOX HILL TER
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-2324
Mailing Address - Country:US
Mailing Address - Phone:405-514-4341
Mailing Address - Fax:
Practice Address - Street 1:3335 FOX HILL TER
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-2324
Practice Address - Country:US
Practice Address - Phone:405-514-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK205473363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health