Organization Active NPI

Faith Mission Igc Inc

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1609798578
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
FAITH MISSION IGC INC
Doing business as
Faith Mission IGC Medical Clinic
Practice address
3210 S Norwood Ave Ste a
Tulsa, OK 74135-5463
Phone
(918) 932-8480
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Edobor, APRN-CNP
Title
Authorized Official
Phone
(918) 639-3148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3210 S Norwood Ave Ste a
Tulsa, OK 74135-5463

Mailing address

3210 S Norwood Ave Ste a
Tulsa, OK 74135-5463
Phone (918) 932-8480

Other names 1

  • Faith Mission IGC Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3210 S Norwood Ave
Ste A
Tulsa, OK 74135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1609798578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 S NORWOOD AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355463",
            "telephone_number": "918-932-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 S NORWOOD AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355463",
            "telephone_number": "918-932-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH MISSION IGC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "EDOBOR",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-639-3148",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Mission IGC Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.