Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacinda Hantak, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1184166753

Jacinda Hantak, APRN-CNP is a Nurse Practitioner in Yukon, Oklahoma. Qualified in 2016, 10 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
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Practice location Address checks out

4400 Grant Blvd
Yukon, OK 73099-0037
Phone: (405) 603-4660
Fax: (405) 470-3377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 96351 (OK)

Record details

NPI number1184166753
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedNovember 13, 2016
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Yukon