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Mr. Jimmy Lee Tisdale, APRN,FNP-C
Family Nurse Practitioner in Oklahoma City, Oklahoma
NPI 1477992253

Jimmy Lee Tisdale is a Family Nurse Practitioner based in Oklahoma City, OK and is specialized in Family. Jimmy Lee Tisdale practices in Oklahoma City, OK and has the professional credentials of APRN,FNP-C. The NPI Number for Jimmy Lee Tisdale is 1477992253 and holds a License No. R80659 (Oklahoma).

The current practice location address for Jimmy Lee Tisdale is 7117 W Wilshire Blvd, Oklahoma City, OK and can be reached out via phone at 405-470-1224 and via fax at 405-217-0063.

Location: 7117 W Wilshire Blvd, Oklahoma City, OK, 73132-5575
person
Provider Profile Details
NPI Number
1477992253
Provider Name
Jimmy Lee Tisdale
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
7117 W Wilshire Blvd, Oklahoma City, OK, 73132-5575
Phone Number
405-470-1224
Fax Number
405-217-0063
Provider Enumeration Date
06/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200500020A 05 OK
200599270A 05 OK
institution
Provider Business Practice Location Address Details
Address
7117 W Wilshire Blvd
City
State
Zip
73132-5575
Phone Number
405-470-1224
Fax Number
405-217-0063
person
Provider Business Mailing Address Details
Address
7117 W Wilshire Blvd
City
State
Zip
73132-5575
Phone Number
405-470-1224
Fax Number
405-217-0063
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R80659 (Oklahoma)
Definition
Definition to come...
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