Individual
KORISSA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1418
(918) 728-8036
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
79620
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
219847
OK
Other
Enumeration date
02/23/2021
Last updated
12/16/2024
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