Provider Demographics
NPI:1538824818
Name:COVINGTON, CHRISTY LEE (APRN, CNP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LEE
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LEE
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-0966
Mailing Address - Country:US
Mailing Address - Phone:405-757-0150
Mailing Address - Fax:877-669-0254
Practice Address - Street 1:5224 E I 240 SERVICE RD STE 303
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-2607
Practice Address - Country:US
Practice Address - Phone:405-608-3800
Practice Address - Fax:405-628-6379
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK205867363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology