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

Mrs. Lacey Gann, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1366200792

Mrs. Lacey Gann, APRN-CNP is a Nurse Practitioner in Yukon, Oklahoma. Qualified in 2023, 3 years ago. Practices with Aquilo Health Company P C Dba Canadian Valley Family Care, an 8-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone: (405) 806-2200
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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 217099 (OK)

Record details

NPI number1366200792
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aquilo Health Company P C Dba Canadian Valley Family Care — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Yukon