Individual provider · Type 1 NPI

Tericka Small, NP-C

Gerontology Nurse Practitioner · Oklahoma City, OK

NPI number 1407416522 Active

Practice location

5200 E I 240 Service Rd
Oklahoma City, OK 73135-2610

Call (580) 284-5255 Map

Mailing address

11501 N Ann Arbor Ave
Oklahoma City, OK 73162-3735

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	AG08180037 (OK)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407416522

Tericka Small, NP-C's National Provider Identifier is 1407416522, issued on Jun 20, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 20, 2019.