Individual
JOERESTY TABUJARA ABELIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
825 NE 10TH ST STE 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26046
SC
363LA2100X
Acute Care Nurse Practitioner
AP144916
AZ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
200190
OK
363LC0200X
Critical Care Medicine Nurse Practitioner
AP144916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP144916
TEXAS BOARD OF NURSING
TX
Enumeration date
02/06/2020
Last updated
10/27/2025
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