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BOULEVARD FAMILY CLINIC
NPI 1821515032
Nurse Practitioner - Family in Edmond, OK

Active since August 28, 2017
3431 S BOULEVARD STE 109, EDMOND, OK 73013(405) 562-1870(405) 562-1871 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Boulevard Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD FAMILY CLINIC (NPI 1821515032) is a healthcare organization registered as a family in Edmond, Oklahoma and active in the NPI registry since August 2017. The organization lists Tina Gay Joy, Family Nurse Practitioner, Provider, as its authorized official.

NPPES Registry Identity

NPI1821515032
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTINA JOY APRN-CNP, FNP-BC, LLC
Location Address3431 S BOULEVARD STE 109Edmond, OK 73013-5514
Mailing Address3431 S Boulevard Ste 109Edmond, OK 73013-5514 · (405) 562-1870 · Fax (405) 562-1871
Phone(405) 562-1870
Fax(405) 562-1871
Organization SubpartNo
Authorized OfficialTina Gay JoyFamily Nurse Practitioner, Provider · (405) 312-2775
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1821515032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 77055
3431 S BOULEVARD STE 109, Edmond, OK 73013
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Other Names 1

Doing Business AsBoulevard Family Clinic

Other Identifiers 2

Other77055OK · Aprn-cnp
Other2015022832OK · Ancc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN MICHELLE FEELEY DNP, APRN-CNP
Nurse Practitioner (Family)
3431 S BOULEVARD STE 109
EDMOND, OK 73013
Oklahoma County (405) 562-1870

Frequently Asked Questions

What is TINA JOY APRN-CNP, FNP-BC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1821515032, enumerated as an "organization" on August 28, 2017.

Where is the provider located?

The provider is located at 3431 S BOULEVARD STE 109 EDMOND, OK 73013 and the phone number is (405) 562-1870.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does TINA JOY APRN-CNP, FNP-BC, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.