Individual
JENNIFER L WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD STE 200, TULSA, OK 74133-5722
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67094
OK
364S00000X
Clinical Nurse Specialist
R0067094
OK
364SM0705X
Medical-Surgical Clinical Nurse Specialist
R0067094
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099160A
—
OK
01
—
306748421001
BLUECROSS BLUESHIELD
OK
01
—
890001141
RAILROAD MEDICARE
OH
Enumeration date
04/05/2006
Last updated
12/17/2024
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