NPI 1326295338 · live from the CMS NPI Registry
Tiffany Nicole Bankston, P.A.
Physician Assistant, Medical in Edmond, OK. National Provider Identifier 1326295338, active.
NPI record
| NPI | 1326295338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 609 S Kelly Ave, Suite J1, Edmond, OK 73003 |
| Practice phone | 405-285-8315 |
| Enumerated | August 20, 2008 |
| Last updated | August 20, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 1478 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.