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

Mackenzie Deshae Brunk, LPN

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1043144454

Mackenzie Deshae Brunk, LPN is a Mental Health Clinic/Center (Including Community Mental Health Center) in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2026
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone: (918) 207-0078
Fax: (918) 207-0558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence 228794 (OK)

Record details

NPI number1043144454
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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