Nana Fajugbagbe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209705 Issued in OK

Practice address

1216 E Kenosha St # 320
Broken Arrow, OK 74012-2007

Phone

(918) 744-3131

NPI assigned

Jul 22, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1326969825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10218 S 229TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E KENOSHA ST # 320",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122007",
            "telephone_number": "918-744-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJUGBAGBE",
        "first_name": "NANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express, LTD.
• Randy J Fagan, DDS
• Thomas Robert Fagan
• Ty Harrison Faglie, DPT, PT
• Julie Fain Dulin, CCC-SLP
• Family Care of Broken Arrow, Inc. (Family Medicine Associates)
• Family Dentistry of Broken Arrow PC
• Family Smiles Dentistry, PLLC
• Cicely Fanning
• Lora Farrar

• Family Nurse Practitioner in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.