Individual
NICHELLE WHIDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
Mailing address
729 E DETROIT AVE, YALE, OK 74085-4012
(318) 801-4915
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
01/08/2024
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