Individual
GINA MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1866 E 15TH ST, TULSA, OK 74104-4611
(918) 884-2884
(918) 884-2885
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112039
OK
Other
Enumeration date
06/07/2018
Last updated
11/08/2022
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