IndividualActive
Alyssa Black, PA
NPI 1245472059 · Physician Assistant · Tulsa, OK
Provider details
- NPI number
- 1245472059
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 2564 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 502-3939
Approximate (ZIP-level) locationGet directions
Mailing address
6161 S Yale Ave
Tulsa, OK 74136-1902
Registry dates
- Enumerated
- 2009-03-26
- Last updated
- 2017-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.