Individual
JACEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(417) 830-2151
Mailing address
210 CARL DR APT A6, HOT SPRINGS NATIONAL PARK, AR 71913-6276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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