Provider Demographics
NPI:1285523084
Name:SWINK, COURTNEY RAY (PA-C)
Entity type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:RAY
Last Name:SWINK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-2504
Mailing Address - Country:US
Mailing Address - Phone:405-708-9188
Mailing Address - Fax:
Practice Address - Street 1:3617 NW EXPWY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4405
Practice Address - Country:US
Practice Address - Phone:405-835-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5589363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant