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

Jonathan Daniel Bouldin, APRN-CNP

Individual provider Nurse Practitioner · NPI 1447735055

Jonathan Daniel Bouldin, APRN-CNP is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2018, 8 years ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1265 S Utica Ave
Tulsa, OK 74104-4243
Phone: (918) 592-0999
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 114696 (OK)

Record details

NPI number1447735055
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESSeptember 28, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Creek Nation Hospital And Clinics — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa