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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DIANNE GENENE TUPPER, R.N., OPA-C

Active Sole Proprietor

MRS. DIANNE GENENE TUPPER, R.N., OPA-C is a Medical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1740578103 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1740578103
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2011 (14.887667801816 yrs)
Last Updated
Jun 8, 2023
Licenses
R0083080 (OK)
83080 (OK)
1148 (OK)
1148 (OK)
Sole Proprietor
Yes

Practice Information

Address
12301 N WESTERN AVE STE 101
OKLAHOMA CITY, OK, 731148017
Browse OK providers · Browse ZIP 73114
Phone
4057578338
Fax
4057157179
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Orthopedic Nurse
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
RACHEL HAND PAC 1033112347
KRISTI MICHELLE PARKER P. A. 1427058809
GRETA J. WATSON P.A. 1538156336
KATHERINE J PAYNE PA-C 1710976071
KELLY J WALWORTH PAC 1376526756
MCKINLEY BOATNER PA 1508840695
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.