Individual
TIFFANY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
26266 W STONE CHAPEL RD, TAHLEQUAH, OK 74464-1354
(918) 718-4855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0122723
OK
363LF0000X
Family Nurse Practitioner
Primary
220430
OK
Other
Enumeration date
09/04/2024
Last updated
09/24/2024
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