Healthcare Provider Details

I. General information

NPI: 1053221077
Provider Name (Legal Business Name): SIGNATURE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3113 STONEWALL DR
BARTLESVILLE OK
74006-6354
US

IV. Provider business mailing address

321 S BOSTON AVE STE 300
TULSA OK
74103-3311
US

V. Phone/Fax

Practice location:
  • Phone: 918-639-2904
  • Fax:
Mailing address:
  • Phone: 918-639-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LILLIAN MCCHESNEY
Title or Position: OWNER/MANAGING MEMBER
Credential: APRN
Phone: 918-639-2904