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JOAN NYASULU PERISHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6565 S YALE AVE STE 312, TULSA, OK 74136-8304
(918) 502-1900
(918) 494-6303
Mailing address
21888 S 4126 RD, CLAREMORE, OK 74019-3814
(918) 313-5284

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
225342
OK

Other

Enumeration date
08/20/2025
Last updated
11/05/2025
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