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

NICKOLAS ELLIS

Active Sole Proprietor

Peer Specialist · OKLAHOMA CITY, OK

Registration Details

NPI Number
1699636415
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2025 (0.45038104634402 yrs)
Last Updated
Nov 20, 2025
License
K082070417 (OK)
Sole Proprietor
Yes

Practice Information

Address
11601 W STANLEY DRAPER DR
OKLAHOMA CITY, OK, 731656503
Browse OK providers · Browse ZIP 73165
Phone
4057997540
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in OKLAHOMA CITY, OK

Name Credential NPI
LAKEISHA DENEICE SIMPSON 1790921518
SHERI HOLLAND 1063655025
MS. DEBRA ANN GENTRY CADC 1003146036
TIFFANY HENLEY 1780916239
MRS. JENNIFER LYNN SHEA 1588979108
MISS LAQUITA DAWN ADAMS A.S., B.S, M.A.T 1881995934
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.