TABITHA JEAN PARKS APRN-CNP PEDIATRICS NPI 1962055707

NPI Information

NPI: 1962055707
Provider Name: TABITHA JEAN PARKS, APRN-CNP PEDIATRICS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1505 E MAIN ST
STIGLER, OK
ZIP 74462
Phone: (918) 967-3368
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Tabitha Jean Parks, APRN-CNP PEDIATRICS is a pediatrics nurse practitioner in Stigler, OK. Tabitha Jean Parks, APRN-CNP PEDIATRICS NPI is 1962055707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 E MAIN ST
STIGLER, OK
ZIP 74462-913
Phone: (918) 967-3368
Fax: (918) 967-3351

The NPI 1962055707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	115890	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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