OrganizationActive
Icp Oklahoma Aco Billing LLC
NPI 1255915427 · Clinical Nurse Specialist · Tulsa, OK
Provider details
- NPI number
- 1255915427
- Entity type
- Organization
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ayasha Thomason, Authorized Official(501) 831-1168
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8211 E Regal Pl Ste 100
Tulsa, OK 74133-7181
Phone: (855) 498-6767
Fax: (479) 968-1673
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9178
Russellville, AR 72811-9178
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.