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

Bobby Don Priddy Jr., APRNCNP

Individual provider Family Nurse Practitioner · NPI 1871097741

Bobby Don Priddy Jr., APRNCNP is a Nurse Practitioner in Tishomingo, Oklahoma. Qualified in 2019, 7 years ago. Practices with Family Health Center of Southern Oklahoma Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2018
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Practice location Address checks out

610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 218-8963
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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 R0092060 (OK)

Record details

NPI number1871097741
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Health Center Of Southern Oklahoma Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tishomingo