Micki Tyner

Peer Specialist · Durant, OK

Individual Active NPI

NPI number 1275401481

Practice location

698 Westside Dr
Durant, OK 74701-3084
Phone
(580) 924-7333
Fax
(580) 924-7332

Open in Google Maps

NPI record

NPI
1275401481
Entity type
Individual (Type 1)
Enumeration date
October 28, 2025
Last updated
October 28, 2025
Certified
October 28, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

PO Box 189
Ardmore, OK 73402-0189
Phone
(580) 319-7305
Fax
(580) 319-7328

About Micki Tyner

Micki Tyner is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 698 Westside Dr, Durant, OK 74701-3084. The NPI number 1275401481 was assigned on October 28, 2025 and the record was last updated on October 28, 2025.

Frequently asked questions

What is the NPI number of Micki Tyner?

The NPI number is 1275401481.

What is the phone number of Micki Tyner?

The phone number listed for the practice location is (580) 924-7333.

Where is Micki Tyner located?

698 Westside Dr, Durant, OK 74701-3084.

What is the taxonomy code for Micki Tyner?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Peer Specialist providers in Durant

All Peer Specialist providers in Durant, OK →