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

Providence Family Practice, PLLC

Organization Primary Care Clinic/Center · NPI 1215185491

Providence Family Practice, PLLC is a Primary Care Clinic/Center in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 SW 44th St Ste 400
Oklahoma City, OK 73109-3617
Phone: (405) 702-9050
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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 · Licence R0058523 (OK)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence R0058523 (OK)

Record details

NPI number1215185491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christiana Williams — Arnp-C · (405) 816-0053
NPI enumeratedAugust 31, 2008
Last updated in NPPESJune 24, 2009
Mailing address1016 Sw 44th St Ste 400, Oklahoma City, OK 73109-3617

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