Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinic at 410 PLLC

Organization Family Nurse Practitioner · NPI 1144065012

Clinic at 410 PLLC is a Family Nurse Practitioner in Kingston, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

410 Hwy 70
Kingston, OK 73439
Phone: (580) 565-9975
Fax: (888) 241-2340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1144065012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tressa Matchen — Fnp-Bc · (580) 565-9975
NPI enumeratedJuly 1, 2024
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address410 Highway 70 W, Kingston, OK 73439-8237

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