Individual
MRS. TIFFANI S HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6465 S YALE AVE STE 202, TULSA, OK 74136-7804
(918) 502-2280
(918) 502-2285
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
102802
OK
363LP0200X
Pediatric Nurse Practitioner
R0102802
OK
Other
Enumeration date
04/14/2017
Last updated
01/10/2025
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