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

Main Medical Clinic LLC

Organization Family Nurse Practitioner · NPI 1710758966

Main Medical Clinic LLC is a Family Nurse Practitioner in Tishomingo, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
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

108 W Main St
Tishomingo, OK 73460-1723
Phone: (580) 774-3548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1710758966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Marshall — Owner · (817) 739-5848
Other names Main Street Medical
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address108 W Main St, Tishomingo, OK 73460-1723

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