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

Mollie Tanner, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1902468341

Mollie Tanner, APRN-CNP is a Nurse Practitioner in Cushing, Oklahoma. Qualified in 2019, 7 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019

Practice location Address checks out

1002 E Cherry St
Cushing, OK 74023-4102
Phone: (918) 306-4515
Fax: (918) 306-4519
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 119397 (OK)

Record details

NPI number1902468341
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 6, 2019
Last updated in NPPESJuly 6, 2019

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 Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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