Provider Demographics
NPI:1821533753
Name:YORK, JOHN ERIC (FNP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ERIC
Last Name:YORK
Suffix:
Gender:M
Credentials:FNP
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Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:11610 N 137TH EAST AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-3601
Practice Address - Country:US
Practice Address - Phone:918-928-4180
Practice Address - Fax:918-928-4185
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-02
Last Update Date:2023-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK92545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200685990AMedicaid