| Doctor Name: | MICHELLE MARIE TALKINGTON |
| NPI Number: | 1700225638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, C-NP |
| License Number: | 0073552 |
| Business Practice Address: | 104 West F Avenue Milburn, OK - 73450 |
| Business Phone Number: | 5804433533 |
| Business Fax Number: | |
| Mailing Address: | 4992 Ponderosa Rd, ARDMORE |
| State: | OK |
| Postal Code: | 734018166 |
| Phone Number: | 5803203598 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2013 |
| NPI Last Update Date: | 06/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0073552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |