Organization
TINA JOY APRN-CNP, FNP-BC, LLC
Active
Other names
Boulevard Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA GAY JOY APRN-CNP (FAMILY NURSE PRACTITIONER, PROVIDER)
(405) 312-2775
Entity
Organization
Contact information
Practice address
3431 S BOULEVARD STE 109, EDMOND, OK 73013-5514
(405) 562-1870
(405) 562-1871
Mailing address
3431 S BOULEVARD STE 109, EDMOND, OK 73013-5514
(405) 562-1870
(405) 562-1871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77055
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015022832
ANCC
OK
01
—
77055
APRN-CNP
OK
Enumeration date
08/28/2017
Last updated
07/21/2022
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