Provider Demographics
NPI:1265901524
Name:TIPPECONNIC, MICHELLE RENEE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RENEE
Last Name:TIPPECONNIC
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 SPRINGER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3966
Mailing Address - Country:US
Mailing Address - Phone:405-216-3747
Mailing Address - Fax:405-339-0377
Practice Address - Street 1:2424 SPRINGER DR STE 300
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-3966
Practice Address - Country:US
Practice Address - Phone:405-216-3747
Practice Address - Fax:405-339-0377
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK102024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily