DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE ANN DURHAM, AGNP-C

Active Sole Proprietor

Adult Health Nurse Practitioner · HOMINY, OK

Registration Details

NPI Number
1306356183
Provider Type
Individual
Gender
Female
NPI Issued
Oct 5, 2017 (8.5526632169768 yrs)
Last Updated
Feb 24, 2026
Licenses
AG08170142 (OK)
R0064988 (OK)
64988 (OK)
Sole Proprietor
Yes

Practice Information

Address
119 W MAIN ST
HOMINY, OK, 740351031
Browse OK providers · Browse ZIP 74035
Phone
9188854640
Fax
9188854644
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.