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

Stephanie Ann Durham, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1306356183

Stephanie Ann Durham, AGNP-C is a Nurse Practitioner in Hominy, Oklahoma. Qualified in 2017, 9 years ago. Practices with Fairfax Medical Facilities Inc, a 16-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
Specialties on file
3

Practice location Address checks out

119 W Main St
Hominy, OK 74035-1031
Phone: (918) 885-4640
Fax: (918) 885-4644
Show map & directions

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

Additional practice locations (3)

  • 212 N Main St, Fairfax, OK 74637-3023 — (918) 642-3100
  • 9001 W 51st St, Tulsa, OK 74107-8547 — (918) 815-9443
  • 9001 W 51st St, Tulsa, OK 74107-8547 — (918) 815-9443

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 64988 (OK)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AG08170142 (OK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R0064988 (OK)

Record details

NPI number1306356183
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedOctober 5, 2017
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairfax Medical Facilities Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount