# FAITH MISSION IGC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faith Mission IGC Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609798578
- **Authorized official:** GRACE EDOBOR APRN-CNP (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 639-3148

## Contact information

- **Practice address:** 3210 S NORWOOD AVE STE A, TULSA, OK 74135-5463
- **Practice address phone:** (918) 932-8480
- **Mailing address:** 3210 S NORWOOD AVE STE A, TULSA, OK 74135-5463
- **Mailing address phone:** (918) 932-8480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2026
- **Last updated:** 08/19/2026