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

Mr. Jimmy Lee Tisdale, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1477992253

Mr. Jimmy Lee Tisdale, APRN, FNP-C is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2013, 13 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
13
Licensed in
OK
In the registry since
2013
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

7117 W Wilshire Blvd
Oklahoma City, OK 73132-5575
Phone: (405) 470-1224
Fax: (405) 217-0063
Show map & directions

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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 R80659 (OK)

Record details

NPI number1477992253
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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