Individual
JESSICA DEGGINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046630A
—
OK
01
—
35022YL3J
MEDICARE
OK
Enumeration date
05/28/2013
Last updated
04/07/2022
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