Obstetrics & Gynecology
WOMENS HEALTH & WELLNESS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770571598 · enumerated 2005-10-06 · record updated 2011-02-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. JACQUELINE GIBSON-BURRIS CPC, Practice Management Manager · (580) 249-3706
Addresses and phones
- Mailing address 615 E OKLAHOMA AVE, SUITE 203, ENID, OK, 73701-5951 (580) 242-3870 Fax (580) 242-4046 Google Maps Apple Maps OpenStreetMap
- Practice location 615 E OKLAHOMA AVE, SUITE 203, ENID, OK, 73701-5951 (580) 242-3870 Fax (580) 242-4046 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology, Gynecology 207VG0400X · License 11867 OK
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · License R0048498 OK
- Obstetrics & Gynecology 207V00000X · Primary · License 8721 OK
In this directory
Locations and evidence
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Practice location
ENID, OK, 737015951
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.