JIMMY LEE TISDALE

OKLAHOMA CITY, OK
NPI1477992253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  R80659)
Enumeration Date2013-06-14
Last Update Date2020-02-13
Business Address
Mr. JIMMY LEE TISDALE APRN, FNP-C
7117 W WILSHIRE BLVD
OKLAHOMA CITY, OK 73132-5575
Phone number: 405-470-1224
Mailing Address
Mr. JIMMY LEE TISDALE APRN, FNP-C
7117 W WILSHIRE BLVD
OKLAHOMA CITY, OK 73132-5575
Phone number: 405-470-1224
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