Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Nissen

Individual provider Speech-Language Pathologist · NPI 1528678638

Krista Nissen is a Speech-Language Pathologist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
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Practice location Address checks out

2552 E Kenosha St
Broken Arrow, OK 74014-6712
Phone: (918) 893-3735
Fax: (918) 893-3745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5377 (OK)

Record details

NPI number1528678638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address2552 E Kenosha St, Broken Arrow, OK 74014-6712

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