Individual
JOYCE B JUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 E SKELLY DR, SUITE 205, TULSA, OK 74105-6358
(918) 949-4555
Mailing address
3105 E SKELLY DR, SUITE 205, TULSA, OK 74105-6358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0074646
OK
163WH0200X
Home Health Registered Nurse
R0074646
OK
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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