Individual
JESSICA SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS, ACCNS-AG
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
1705 E 19TH ST STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
97153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97153
LICENSE
OK
Enumeration date
09/28/2015
Last updated
01/29/2020
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