Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Marshall Tison, PNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1922518232

Bryan Marshall Tison, PNP-PC is a Pediatric Nurse Practitioner in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2017
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Practice location Address checks out

2000 E 15th St Ste 400A
Edmond, OK 73013-6673
Phone: (405) 341-1697
Fax: (405) 341-2672
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Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 101670 (OK)

Record details

NPI number1922518232
Entity typeIndividual (Type 1)
GenderMale
Credentials PNP-PC
Sole proprietorYes
NPI enumeratedOctober 2, 2017
Last updated in NPPESJuly 21, 2022
Mailing address2000 E 15th St Ste 400a, Edmond, OK 73013-6673

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