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

Lesli Bullock

Individual provider Nurse Practitioner · NPI 1568604197

Lesli Bullock is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 1999, 27 years ago. Practices with Jack E. Marshall MD LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
27
Licensed in
OK
In the registry since
2009
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Practice location Address checks out

14100 Parkway Commons Dr Ste 201
Oklahoma City, OK 73134-6104
Phone: (405) 749-2765
Fax: (405) 749-6209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 119449 (OK)

Record details

NPI number1568604197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address14100 Parkway Commons Dr Ste 201, Oklahoma City, OK 73134-6104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Jack E. Marshall M.D. Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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