Individual
JESSE JOHNRAY SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12705 E 24TH ST, TULSA, OK 74129-6011
(918) 873-2017
Mailing address
12705 E 24TH ST, TULSA, OK 74129-6011
(918) 873-2017
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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