NPI 1750716809 · live from the CMS NPI Registry
Courtney Gayle Abernathy, PA-C
Physician Assistant, Medical in Tulsa, OK. National Provider Identifier 1750716809, active.
NPI record
| NPI | 1750716809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 717 S Houston Ave Ste 304, Tulsa, OK 74127 |
| Practice phone | 918-382-5064 |
| Mailing address | 5310 E 31st St Fl 13, Tulsa, OK 74135 |
| Enumerated | September 9, 2013 |
| Last updated | January 10, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 2306 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.