TINA JOY APRN-CNP FNP-BC LLC NPI 1821515032

NPI Information

NPI: 1821515032
Provider Name: TINA JOY APRN-CNP, FNP-BC, LLC

Doing Business As: BOULEVARD FAMILY CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3431 S BOULEVARD STE 109
EDMOND, OK
ZIP 73013
Phone: (405) 562-1870
Get Directions

TINA JOY APRN-CNP, FNP-BC, LLC is a family nurse practitioner in Edmond, OK. TINA JOY APRN-CNP, FNP-BC, LLC NPI is 1821515032. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boulevard Family Clinic.

The provider's business location address is:

3431 S BOULEVARD STE 109
EDMOND, OK
ZIP 73013-514
Phone: (405) 562-1870
Fax: (405) 562-1871

The provider's authorized official is Tina Gay Joy .
The authorized official title is Family Nurse Practitioner, Provider and has the following contact phone number (405) 312-2775.

The enumeration date for this NPI number is 8/28/2017 and was last updated on 7/21/2022.

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	363LF0000X	Nurse Practitioner	Family	77055	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	77055	OTHER	OKLAHOMA	APRN-CNP
2	2015022832	OTHER	OKLAHOMA	ANCC

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »