MR. Jimmy Lee Tisdale, APRN, FNP-C is a family nurse practitioner in Oklahoma City, OK with 11 years of experience. MR. Jimmy Lee Tisdale, APRN, FNP-C NPI is 1477992253. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7117 W WILSHIRE BLVD
OKLAHOMA CITY, OK
ZIP 73132-575
Phone: (405) 470-1224
Fax: (405) 217-0063
The NPI 1477992253 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 6/14/2013 and was last updated on 2/13/2020.