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

Tina Marie Provence

Individual provider Peer Specialist · NPI 1558148163

Tina Marie Provence is a Peer Specialist in Tulsa, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone: (918) 779-7216
Fax: (918) 663-0203
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1558148163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

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