Individual
MRS. JESSICA LYNN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
8921 S. MINGO RD, TULSA, OK 74133
(918) 252-8000
Mailing address
8921 S. MINGO RD, TULSA, OK 74133
(918) 252-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78874
OK
Other
Enumeration date
08/21/2020
Last updated
05/09/2023
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