Individual
JOSEPH BRENT JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
2613 E 19TH ST, TULSA, OK 74104-5807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN296016
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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