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

Mr. Justin Don Cole

Individual provider Family Nurse Practitioner · NPI 1790211795

Mr. Justin Don Cole is a Nurse Practitioner in Broken Arrow, Oklahoma. Qualified in 2017, 9 years ago. Practices with HIV Resource Consortium, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3325 S 204th East Ave
Broken Arrow, OK 74014-5165
Phone: (918) 955-1907
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1232 Sw 89th St, Oklahoma City, OK 73139-9105 — (405) 879-3470

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82942 (OK)

Record details

NPI number1790211795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hiv Resource Consortium, Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Broken Arrow