Provider Demographics
NPI:1538533690
Name:DEKNIGHT, DAWN MARIE (RN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:DEKNIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:138 S. MAIN
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:OK
Mailing Address - Zip Code:74331-1822
Mailing Address - Country:US
Mailing Address - Phone:918-257-4244
Mailing Address - Fax:918-257-4247
Practice Address - Street 1:138 S. MAIN
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331-1822
Practice Address - Country:US
Practice Address - Phone:918-257-4244
Practice Address - Fax:918-257-4247
Is Sole Proprietor?:No
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK115556163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult