Provider Demographics
NPI:1669089280
Name:MCCLANAHAN-RICHARDS, TESSA LYNNE (DNP-AGACNP)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:LYNNE
Last Name:MCCLANAHAN-RICHARDS
Suffix:
Gender:F
Credentials:DNP-AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S WHEELING AVE STE 510
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5642
Mailing Address - Country:US
Mailing Address - Phone:918-747-5200
Mailing Address - Fax:
Practice Address - Street 1:2000 S WHEELING AVE STE 510
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5642
Practice Address - Country:US
Practice Address - Phone:918-747-5200
Practice Address - Fax:918-858-0290
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0117978207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology