Individual provider · Type 1 NPI
Jimmy Lee Tisdale, APRN, FNP-C
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1477992253
Active
Practice location
7117 W Wilshire Blvd
Oklahoma City, OK 73132-5575
Fax (405) 217-0063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R80659 (OK) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1477992253
Jimmy Lee Tisdale, APRN, FNP-C's National Provider Identifier is 1477992253, issued on Jun 14, 2013. 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 Jul 31, 2025.