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

Main Medical Clinic LLC

Organization Family Nurse Practitioner · NPI 1710758966

Main Medical Clinic LLC provides Family Nurse Practitioner services in Tishomingo, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
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

108 W Main St
Tishomingo, OK 73460-1723
Phone: (580) 774-3548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1710758966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Marshall — Owner · (817) 739-5848
Other names Main Street Medical
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address108 W Main St, Tishomingo, OK 73460-1723

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