Individual
FALLON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
(918) 494-6303
Mailing address
211 E JUNEAU PL, BROKEN ARROW, OK 74012-8269
(918) 289-3697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0136311
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
215536
OK
Other
Enumeration date
01/19/2022
Last updated
10/06/2025
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