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

Frontier Regeneration Group LLC

Organization Nurse Practitioner · NPI 1003772765

Frontier Regeneration Group LLC is a Nurse Practitioner in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 NW 198th St
Edmond, OK 73012-1317
Phone: (216) 224-6402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1003772765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Tisdale — Partner · (216) 224-6402
Other names Newdawn Mobile Wound Care
NPI enumeratedDecember 26, 2025
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address601 Nw 198th St, Edmond, OK 73012-1317

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