person
Tiffany Nicole Bankston, PA
Medical Physician Assistant in Edmond, Oklahoma
NPI 1326295338

Tiffany Nicole Bankston is a Medical Physician Assistant based in Edmond, OK and is specialized in Medical. Tiffany Nicole Bankston practices in Edmond, OK and has the professional credentials of PA. The NPI Number for Tiffany Nicole Bankston is 1326295338 and holds a License No. 1478 (Oklahoma).

The current practice location address for Tiffany Nicole Bankston is 609 S Kelly Ave, Edmond, OK and can be reached out via phone at 405-285-8315 and via fax at 405-285-8318. You can also correspond with Tiffany Nicole Bankston through the mailing address at 609 S KELLY AVE, EDMOND, OK - 73003-5659 (mailing address contact number: 405-285-8315).

Location: 609 S Kelly Ave, Edmond, OK, 73003-5659
person
Provider Profile Details
NPI Number
1326295338
Provider Name
Tiffany Nicole Bankston
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
609 S Kelly Ave, Edmond, OK, 73003-5659
Phone Number
405-285-8315
Fax Number
405-285-8318
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 S Kelly Ave
City
State
Zip
73003-5659
Phone Number
405-285-8315
Fax Number
405-285-8318
person
Provider Business Mailing Address Details
Address
609 S Kelly Ave
City
State
Zip
73003-5659
Phone Number
405-285-8315
Fax Number
405-285-8318
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1478 (Oklahoma)
Definition
Definition to come...
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