Individual
JORDAN GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4870 S LEWIS AVE STE 240, TULSA, OK 74105-5153
(918) 982-6524
(539) 399-7559
Mailing address
4870 S LEWIS AVE STE 240, TULSA, OK 74105-5153
(918) 982-6524
(539) 399-7559
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
215545
OK
Other
Enumeration date
10/17/2023
Last updated
11/21/2025
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