Smith, Tyler

Smith, Tyler is an sole proprietor health care provider with primary practice located at 11204 S Cleveland St , Jenks OK 74037-6202. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Tyler can be contacted via phone (918) 859-4691.

Contact Information

Primary practice address
11204 S Cleveland St Jenks OK 74037-6202
Phone: (918) 859-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 105650 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 105650 Oklahoma

Profile Details

NPI number 1538514419
LBN Legal business name Smith, Tyler
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2016
Last updated Apr 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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