Individual provider · Type 1 NPI

Benedict Johnson Middleton Iv, FNP-C

Family Nurse Practitioner · Broken Arrow, OK

NPI number 1700688371 Active

Practice location

1130 E Lansing St
Broken Arrow, OK 74012-2429

Call (918) 258-9111 Map

Mailing address

3576 S Winston Ave
Tulsa, OK 74135-2045

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	222426 (OK)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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Urgent Care IncorporatedFamily Medicine Physician Broken Arrow, OK NPI 1215992235
Betsy Jean Graham-Moeller, APRN, FNPFamily Nurse Practitioner Broken Arrow, OK NPI 1568992071
Megan Rey Winford, APRNFamily Nurse Practitioner Broken Arrow, OK NPI 1902783152
Scott J. Fowler, DOFamily Medicine Physician Broken Arrow, OK NPI 1952563892

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About NPI 1700688371

Benedict Johnson Middleton Iv, FNP-C's National Provider Identifier is 1700688371, issued on Mar 25, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 25, 2025.