IndividualActive
Bobby Priddy, APRN CNP
NPI 1871097741 · Family Nurse Practitioner · Tishomingo, OK
Provider details
- NPI number
- 1871097741
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN CNP
- Sex
- Male
- Sole proprietor
- No
- License
- R0092060 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 218-8963
Approximate (ZIP-level) locationGet directions
Mailing address
610 E 24th St
Tishomingo, OK 73460-3245
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.