Healthcare Provider Details

I. General information

NPI: 1215825484
Provider Name (Legal Business Name): TRUE BELIEVERS FAMILY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1081 N BIRCH AVE
BROKEN ARROW OK
74012-2692
US

IV. Provider business mailing address

1175 S ASPEN AVE STE K
BROKEN ARROW OK
74012-4800
US

V. Phone/Fax

Practice location:
  • Phone: 918-461-0422
  • Fax:
Mailing address:
  • Phone: 833-524-2400
  • Fax: 918-290-4943

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: ANDRENE THOMPSON
Title or Position: OWNER
Credential: APRN-CNP
Phone: 918-269-1600