IndividualActive
Lisha Porch-Petitt, CNS
NPI 1104054147 · Clinical Nurse Specialist · Tulsa, OK
Provider details
- NPI number
- 1104054147
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 0058269 (OK)
Practice location
2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104-5649
Phone: (918) 748-7854
Fax: (918) 293-3116
Mailing address
1515 N Harvard Ave
Tulsa, OK 74115-4957
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2009-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.