Individual
EMMALEIGH GRACE NORTHCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 494-2665
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4299
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5357
OK
Other
Enumeration date
11/04/2024
Last updated
04/15/2026
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