Individual
MRS. JESSICA TUCKER SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4216
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 619-4216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8184
OK
207V00000X
Obstetrics & Gynecology Physician
S4876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201189590B
—
OK
Enumeration date
06/15/2016
Last updated
11/19/2024
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