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

Green Country Family Clinic LLC

Organization Family Nurse Practitioner · NPI 1972544807

Green Country Family Clinic LLC is a Family Nurse Practitioner in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

1312 S Garnett Rd Ste E
Tulsa, OK 74128-1835
Phone: (918) 437-2500
Fax: (918) 437-2535
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0067546 (OK)

Record details

NPI number1972544807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gus Canaday — President/Owner · (918) 437-2500
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 15, 2010
Mailing address1312 S Garnett Rd, Ste. E, Tulsa, OK 74128-1835

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