Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Green Country Family Clinic LLC

Organization Family Nurse Practitioner · NPI 1972544807

Green Country Family Clinic LLC provides Family Nurse Practitioner services in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1312 S Garnett Rd Ste E
Tulsa, OK 74128-1835 Not confirmed with CMS for 16 years — call before visiting
Phone: (918) 437-2500
Fax: (918) 437-2535
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0067546 (OK)

Record details

NPI number1972544807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gus Canaday — President/Owner · (918) 437-2500
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 15, 2010
Mailing address1312 S Garnett Rd, Ste. E, Tulsa, OK 74128-1835

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