Wellformed AI

NPI 1619815701 · live from the CMS NPI Registry

Christa Nicole Cullum Tinnin

Registered Nurse, Psych/Mental Health, Adult in Shawnee, OK. National Provider Identifier 1619815701, active.

NPI record

NPI1619815701 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Psych/Mental Health, Adult 163WP0809X
Practice location1336 N Harrison Ave, Shawnee, OK 74801
Practice phone405-275-7100
Mailing address5579 Bent Creek Rd, Shawnee, OK 74804
EnumeratedMarch 23, 2026
Last updatedApril 21, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Psych/Mental Health, Adult primary163WP0809XR0096521 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.