Tabathya Lane Aprn
Tabathya Lane Aprn is a Psychiatric/Mental Health Nurse Practitioner in Kingston, Oklahoma. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
9118 Buckaloo Bend RdKingston, OK 73439-2021
Phone: (580) 504-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Family Health Clinical Nurse Specialist | Taxonomy 364SF0001X |
Record details
| NPI number | 1528896396 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tabathya Taliaferro — Sole Owner · (580) 504-3090 |
| Other names | Evergrace Health And Wellness; Evergrace Health And Wellness |
| NPI enumerated | July 23, 2024 |
| Last updated in NPPES | July 31, 2025 |
| Certification date | July 31, 2025 |
| Mailing address | 9118 Buckaloo Bend Rd, Kingston, OK 73439-2021 |