Individual
MARTINA JAN JELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4444 E. 41ST ST, 3RD FLOOR, STE A, TULSA, OK 74135-2527
(918) 619-4101
(918) 619-4110
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16243
OK
Other
Enumeration date
01/26/2006
Last updated
09/18/2015
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