Individual
TIMOTHY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 502-1900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
224279
OK
Other
Enumeration date
04/25/2025
Last updated
07/02/2025
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