Individual provider · Type 1 NPI

Tina Michele Tillison, APRN, CNP

Family Nurse Practitioner · Oklahoma City, OK

NPI number 1154946721 Active

Practice location

5224 E I 240 Service Rd Ste 201
Oklahoma City, OK 73135-2607

Mailing address

7800 NW 85th Ter
Oklahoma City, OK 73132-3385

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X89076 (OK)
Nurse Practitioner 363L00000X89076 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1154946721

Tina Michele Tillison, APRN, CNP's National Provider Identifier is 1154946721, issued on Jun 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 11, 2023.