IndividualActive
Fallon Thompson
NPI 1104578418 · Acute Care Nurse Practitioner · Tulsa, OK
Provider details
- NPI number
- 1104578418
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 215536 (OK)
Practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 502-1900
Fax: (918) 494-6303
Mailing address
211 E Juneau Pl
Broken Arrow, OK 74012-8269
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.