Individual
MRS. CAROLE ELIZABETH MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, FNP-C
Contact information
Practice address
3204 MEDICAL PARK DR, SHAWNEE, OK 74804-5014
(405) 878-6800
Mailing address
9001 S 101ST EAST AVE, STE 370, TULSA, OK 74133-5796
(918) 392-7500
(918) 254-2119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103959
OK
Other
Enumeration date
09/02/2016
Last updated
07/12/2017
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